CLIA lab
CLIA 52D0949954: Good Value Pharmacy
Kenosha, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0949954 belongs to Good Value Pharmacy in Kenosha, WI.
Certificate of Waiver, effective August 14, 2026, expires August 13, 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
- August 14, 2026
- Certificate expiration
- August 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 1998
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- 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
- 52D0949954
- Lab name
- Good Value Pharmacy
- Address
- 3207 80th St Ste 100, Kenosha, WI 53142
- Phone
- (262) 697-5744
- Fax
- (262) 697-5749
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.
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- Addiction Services and Pharmacotherapy - KenoshaCertificate of Waiver, Physician office52D2248676
- Alliance Women's ClinicCertificate of Waiver, Other52D2137526
- Alpha Homes of Wi, IncCertificate of Waiver, Other52D2325616
- Apexmed SolutionCertificate of Waiver, Independent52D2350482
- Aurora Health CareCertificate of Waiver, Physician office52D2322713
- Aurora Health Care Metro Inc - Kenosha SouthCertificate of Compliance, Ancillary test site52D0979989
- Aurora Health CenterCertificate of Waiver, Physician office52D2144341
- Aurora Health CenterCertificate of Waiver, Physician office52D2148955
- Aurora Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office52D2148960
Related
Questions
What is the CLIA number for Good Value Pharmacy in Kenosha?
52D0949954, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Value Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0949954 expire?
The CMS file lists August 13, 2028 as the certificate expiration date; the certificate took effect August 14, 2026.