CLIA lab
CLIA 52D0980872: Randolph Community Clinic SC
Randolph, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0980872 belongs to Randolph Community Clinic SC in Randolph, WI.
Certificate for Provider-Performed Microscopy Procedures, effective December 6, 2024, expires December 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- December 6, 2024
- Certificate expiration
- December 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 2000
- Facility type
- Physician office
- 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
- 52D0980872
- Lab name
- Randolph Community Clinic SC
- Address
- 504 S High St, Randolph, WI 53956
- Phone
- (920) 326-5060
- Fax
- (920) 326-5061
Annual test volume the lab reported
- Waived tests
- 1,250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Randolph, WI
- Golden Years of RandolphCertificate of Waiver, Assisted living facility52D2286563
- Randolph EMSCertificate of Waiver, Ambulance52D0980275
- Randolph Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0662014
- Randolph Health Services Assisted LivingCertificate of Waiver, Assisted living facility52D2198051
- Randolph School DistrictCertificate of Waiver, School or student health service52D2230359
Related
Questions
What is the CLIA number for Randolph Community Clinic SC in Randolph?
52D0980872, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Randolph Community Clinic SC hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0980872 expire?
The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.