CLIA lab
CLIA 52D0911694: Wildwood Family Clinic SC
Cottage Grove, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0911694 belongs to Wildwood Family Clinic SC in Cottage Grove, WI.
Certificate of Compliance, effective November 5, 2024, expires November 4, 2026.
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 Compliance
- Certificate effective
- November 5, 2024
- Certificate expiration
- November 4, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 13, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0911694
- Lab name
- Wildwood Family Clinic SC
- Address
- 251 East Cottage Grove Rd, Cottage Grove, WI 53527
- Phone
- (608) 839-3515
- Fax
- (608) 839-3541
Annual test volume the lab reported
- Waived tests
- 2,110
- Other nonwaived tests
- 49,093
- Total
- 51,203
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Cottage Grove, WI
- Drumlin Reserve CbrfCertificate of Waiver, Assisted living facility52D2185673
- Forward PharmacyCertificate of Waiver, Pharmacy52D2179424
- Kindredhearts of Cottage GroveCertificate of Waiver, Other52D0986216
- Kindredhearts of Cottage GroveCertificate of Waiver, Assisted living facility52D2059247
- Shared Medical ServicesCertificate of Waiver, Mobile lab52D1014984
- Stoughton Health Cottage Grove Urgent CareCertificate of Waiver, Other52D2308024
- Uw Health-Cottage GroveCertificate of Waiver, Physician office52D0918056
- Wisconsin CVS Pharmacy LLC DBA CVS Pharmacy #05535Certificate of Waiver, Pharmacy52D2224273
Related
Questions
What is the CLIA number for Wildwood Family Clinic SC in Cottage Grove?
52D0911694, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wildwood Family Clinic SC hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 52D0911694 expire?
The CMS file lists November 4, 2026 as the certificate expiration date; the certificate took effect November 5, 2024.