CLIA lab
CLIA 52D0937038: Lake Country Pediatrics, SC
Oconomowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0937038 belongs to Lake Country Pediatrics, SC in Oconomowoc, WI.
Certificate of Waiver, effective July 8, 2026, expires July 7, 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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 1997
- 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
- 52D0937038
- Lab name
- Lake Country Pediatrics, SC
- Address
- 970 S Silverlake St Ste 102, Oconomowoc, WI 53066
- Phone
- (262) 569-7100
- Fax
- (262) 567-6295
Annual test volume the lab reported
- Waived tests
- 4,104
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Oconomowoc, WI
- AdventCertificate of Waiver, Physician office52D2184780
- Allegiance Medical, SCCertificate of Waiver, Physician office52D2328858
- Aurora Wilkinson Medical Clinic UrgentCertificate of Waiver, Physician office52D2000602
- Dimensions Living OconomowocCertificate of Waiver, Assisted living facility52D2117984
- Everside Health, Llc-Oconomowoc Sentry EquipmentCertificate of Waiver, Physician office52D2149235
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2108034
- Lake Area Free ClinicCertificate of Waiver, Community clinic52D0987626
- Lake Country Endoscopy CenterCertificate of Waiver, Ambulatory surgery center52D1090159
- Lutheran Homes of OconomowocCertificate of Waiver, Skilled nursing or nursing facility52D0674743
- Medcor, Inc Target DCCertificate of Waiver, Industrial52D2018744
Related
Questions
What is the CLIA number for Lake Country Pediatrics, SC in Oconomowoc?
52D0937038, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Country Pediatrics, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0937038 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.