CLIA lab
CLIA 52D0912442: Johnson Creek EMS
Johnson Creek, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0912442 belongs to Johnson Creek EMS in Johnson Creek, WI.
Certificate of Waiver, effective March 4, 2026, expires March 3, 2028.
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
- March 4, 2026
- Certificate expiration
- March 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 4, 1996
- Facility type
- Ambulance
- Ownership (control type)
- Government, other
- 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
- 52D0912442
- Lab name
- Johnson Creek EMS
- Address
- 120 S Watertown St, PO Box 529, Johnson Creek, WI 53038
- Phone
- (920) 699-3456
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Johnson Creek, WI
- Johnson Creek ASC, LLCCertificate of Waiver, Ambulatory surgery center52D2349441
- Orthopaedic Associates of WisconsinCertificate of Waiver, Physician office52D2350119
- Rock River Community Clinic, IncCertificate of Waiver, Community clinic52D2338053
- Three Oaks HealthCertificate for Provider-Performed Microscopy Procedures, Physician office52D2123975
- Uw Cancer Center Johnson CreekCertificate of Accreditation, Ancillary test site52D2283822
- Watertown Regional Medical CenterCertificate of Waiver, Other52D0951451
Related
Questions
What is the CLIA number for Johnson Creek EMS in Johnson Creek?
52D0912442, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson Creek EMS hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0912442 expire?
The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.