CLIA lab
CLIA 52D0990017: Medical Diagnostic Imaging LLC
Greenfield, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0990017 belongs to Medical Diagnostic Imaging LLC in Greenfield, WI.
Certificate of Waiver, effective January 16, 2025, expires January 15, 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
- January 16, 2025
- Certificate expiration
- January 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 10, 2001
- Facility type
- Other
- 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
- 52D0990017
- Lab name
- Medical Diagnostic Imaging LLC
- Address
- 6150 W Layton Ave, Greenfield, WI 53220
- Phone
- (414) 282-4100
- Fax
- (414) 282-4105
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aurora Health Care Medical Group EdgertonCertificate for Provider-Performed Microscopy Procedures, Physician office52D2143019
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- Autumn Living IncCertificate of Waiver, Other52D0984096
- Aw Premier Radiology GreenfieldCertificate of Waiver, Other52D2261671
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Related
Questions
What is the CLIA number for Medical Diagnostic Imaging LLC in Greenfield?
52D0990017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Medical Diagnostic Imaging LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0990017 expire?
The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.