CLIA lab

CLIA 52D0909220: Kenosha Community Health Center

Kenosha, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0909220 belongs to Kenosha Community Health Center in Kenosha, WI.

Certificate of Waiver, effective May 18, 2025, expires May 17, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 18, 2025
Certificate expiration
May 17, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 29, 1995
Facility type
Federally qualified health center
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D0909220
Lab name
Kenosha Community Health Center
Address
4536 22nd Ave, Kenosha, WI 53140
Phone
(262) 771-3500
Fax
(262) 764-3636

Annual test volume the lab reported

Waived tests
450

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kenosha, WI

Related

Questions

What is the CLIA number for Kenosha Community Health Center in Kenosha?

52D0909220, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kenosha Community Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0909220 expire?

The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.

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