CLIA lab
CLIA 52D1009669: Amg Mishicot
Mishicot, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1009669 belongs to Amg Mishicot in Mishicot, WI.
Certificate of Waiver, effective September 1, 2025, expires August 31, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2003
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1009669
- Lab name
- Amg Mishicot
- Address
- 175 S State St, Mishicot, WI 54228
- Phone
- (920) 793-7004
- Fax
- (920) 793-7391
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mishicot, WI
Related
Questions
What is the CLIA number for Amg Mishicot in Mishicot?
52D1009669, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amg Mishicot hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1009669 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.