CLIA lab
CLIA 52D1001177: Thedacare Physicians New London - Urology
New London, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1001177 belongs to Thedacare Physicians New London - Urology in New London, WI.
Certificate of Waiver, effective December 30, 2024, expires December 29, 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
- December 30, 2024
- Certificate expiration
- December 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 2, 2002
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1001177
- Lab name
- Thedacare Physicians New London - Urology
- Address
- 1370 N Shawano Street, Ste A, New London, WI 54961
- Phone
- (920) 722-7747
- Fax
- (920) 722-7863
Annual test volume the lab reported
- Waived tests
- 1,121
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in New London, WI
- Ascension Medical Group- Fox Valley Wisconsin IncCertificate of Waiver, Physician office52D0397908
- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D1102904
- Griebenow EyecareCertificate of Waiver, Physician office52D2315446
- New London School DistrictCertificate of Waiver, Health fair52D2297412
- ST Joseph Residence IncCertificate of Waiver, Skilled nursing or nursing facility52D0662156
- Thedacare Medical Center - New LondonCertificate of Accreditation, Hospital52D0397909
- Thedacare Physicians-New LondonCertificate of Waiver, Physician office52D0885560
- Thedacare at Work - New LondonCertificate of Waiver, Other52D2330372
- Tyson Prepared Foods, Inc- New London, WiCertificate of Waiver, Other52D2162173
- Valley Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office52D0879922
Related
Questions
What is the CLIA number for Thedacare Physicians New London - Urology in New London?
52D1001177, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians New London - Urology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1001177 expire?
The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.