CLIA lab
CLIA 52D0990643: Consultants Lab of Wisconsin, LLC
Fox Lake, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0990643 belongs to Consultants Lab of Wisconsin, LLC in Fox Lake, WI.
Certificate of Waiver, effective February 5, 2026, expires February 4, 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
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 28, 2001
- Facility type
- Independent
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0990643
- Lab name
- Consultants Lab of Wisconsin, LLC
- Additional name
- DBA SSM Health Laboratories
- Address
- 703 W State St, Fox Lake, WI 53933
- Phone
- (920) 929-9300
- Fax
- (920) 929-9640
Annual test volume the lab reported
- Waived tests
- 315
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fox Lake, WI
Related
Questions
What is the CLIA number for Consultants Lab of Wisconsin, LLC in Fox Lake?
52D0990643, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Consultants Lab of Wisconsin, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0990643 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.