CLIA lab
CLIA 52D1012636: Barrett House of Green Lake Rcac
Green Lake, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1012636 belongs to Barrett House of Green Lake Rcac in Green Lake, WI.
Certificate of Waiver, effective July 8, 2026, expires July 7, 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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 2003
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 52D1012636
- Lab name
- Barrett House of Green Lake Rcac
- Address
- 850 Sunnyside Rd, Green Lake, WI 54941
- Phone
- (920) 294-1000
- Fax
- (920) 294-1065
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Green Lake, WI
- Barrett House of Green LakeCertificate of Waiver, Assisted living facility52D2059242
- Green Lake Co Human Services-Hlth UnitCertificate of Waiver, Public health laboratory52D0663884
- Green Lake County Correctional FacilityCertificate of Waiver, Other52D2133093
- Thedacare Physicians Green LakeCertificate of Waiver, Physician office52D2239324
Related
Questions
What is the CLIA number for Barrett House of Green Lake Rcac in Green Lake?
52D1012636, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Barrett House of Green Lake Rcac hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1012636 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.