CLIA lab
CLIA 52D0920903: Lakeshore Medical Clinic - Oak Creek
Oak Creek, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0920903 belongs to Lakeshore Medical Clinic - Oak Creek in Oak Creek, WI.
Certificate for Provider-Performed Microscopy Procedures, effective August 6, 2025, expires August 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 6, 2025
- Certificate expiration
- August 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 1996
- Facility type
- Physician office
- Ownership (control type)
- 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
- 52D0920903
- Lab name
- Lakeshore Medical Clinic - Oak Creek
- Address
- 200 E Ryan, Oak Creek, WI 53154
- Phone
- (414) 570-3590
- Fax
- (414) 570-3599
Annual test volume the lab reported
- Waived tests
- 413
- Provider-performed microscopy tests
- 600
- Total
- 1,013
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- AdventCertificate of Waiver, Physician office52D2184782
- Advocate Aurora Health Care-Oak Creek Urgent CareCertificate of Waiver, Other52D2206088
- Affiliated Dermatologists, SCCertificate of Compliance, Physician office52D2274544
- Affiliated Health of WisconsinCertificate of Waiver, Physician office52D2091834
- Ascension Medical Group Oak CreekCertificate of Waiver, Physician office52D2047622
- Aurora Health Center Oak Creek- Ryan RoadCertificate of Waiver, Ancillary test site52D2136461
- Autumn Creek CQS LLCCertificate of Waiver, Assisted living facility52D2072834
- Autumn Creek II CQS, LLCCertificate of Waiver, Assisted living facility52D2123970
- Azura Memory Care Oak Creek - 8772Certificate of Waiver, Assisted living facility52D2198854
Related
Questions
What is the CLIA number for Lakeshore Medical Clinic - Oak Creek in Oak Creek?
52D0920903, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeshore Medical Clinic - Oak Creek hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0920903 expire?
The CMS file lists August 5, 2027 as the certificate expiration date; the certificate took effect August 6, 2025.