CLIA lab
CLIA 52D0930734: Lauderdale-Lagrange Fire Department
Whitewater, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0930734 belongs to Lauderdale-Lagrange Fire Department in Whitewater, 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, 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
- 52D0930734
- Lab name
- Lauderdale-Lagrange Fire Department
- Address
- W6080 US Hwy 12, Whitewater, WI 53190
- Phone
- (262) 495-8625
- Fax
- (262) 495-8426
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ksms Our House LLC Whitewater Memory CareCertificate of Waiver, Assisted living facility52D0984783
- Mercy Whitewater Medical Center LabCertificate of Waiver, Physician office52D0860239
- Mulberry CampusCertificate of Waiver, Assisted living facility52D2198945
- Rock River Community Clinic, IncCertificate of Waiver, Community clinic52D2231445
- SSM Health Dean Medical Group - WhitewaterCertificate of Waiver, Physician office52D0389929
- Univ of Wisconsin-Whitewater Uhcs LaboratoryCertificate of Accreditation, School or student health service52D0672289
- Walgreens #12638Certificate of Waiver, Pharmacy52D2218308
- Walmart Pharmacy 10-1274Certificate of Waiver, Pharmacy52D2258178
- Whitewater Fire and EMSCertificate of Waiver, Ambulance52D0885708
Related
Questions
What is the CLIA number for Lauderdale-Lagrange Fire Department in Whitewater?
52D0930734, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lauderdale-Lagrange Fire Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0930734 expire?
The CMS file lists July 16, 2027 as the certificate expiration date; the certificate took effect July 17, 2025.