CLIA lab
CLIA 52D0979905: Kettle Moraine Fire District Station 33
Eagle, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0979905 belongs to Kettle Moraine Fire District Station 33 in Eagle, WI.
Certificate of Waiver, effective November 3, 2024, expires November 2, 2026.
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
- November 3, 2024
- Certificate expiration
- November 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 3, 2000
- Facility type
- Ambulance
- 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
- 52D0979905
- Lab name
- Kettle Moraine Fire District Station 33
- Address
- 126 Main St, PO Box 186, Eagle, WI 53119
- Phone
- (262) 594-3302
- Fax
- (262) 594-3993
Annual test volume the lab reported
- Waived tests
- 35
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kettle Moraine Fire District Station 33 in Eagle?
52D0979905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kettle Moraine Fire District Station 33 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0979905 expire?
The CMS file lists November 2, 2026 as the certificate expiration date; the certificate took effect November 3, 2024.