CLIA lab

CLIA 52D0930689: Beaver Dam Fire Department

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

CLIA number 52D0930689 belongs to Beaver Dam Fire Department in Beaver Dam, WI.

Certificate of Waiver, effective July 17, 2025, expires July 16, 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
July 17, 2025
Certificate expiration
July 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 17, 1997
Facility type
Ambulance
Ownership (control type)
Government, city
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
52D0930689
Lab name
Beaver Dam Fire Department
Address
205 S Lincoln Ave, Beaver Dam, WI 53916
Phone
(920) 887-4609

Annual test volume the lab reported

Waived tests
20

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

Other labs in Beaver Dam, WI

Related

Questions

What is the CLIA number for Beaver Dam Fire Department in Beaver Dam?

52D0930689, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beaver Dam Fire Department hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0930689 expire?

The CMS file lists July 16, 2027 as the certificate expiration date; the certificate took effect July 17, 2025.

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