CLIA lab
CLIA 52D1012904: Amg Pewaukee
Pewaukee, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1012904 belongs to Amg Pewaukee in Pewaukee, WI.
Certificate of Waiver, effective February 1, 2026, expires January 31, 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 1, 2026
- Certificate expiration
- January 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 2003
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1012904
- Lab name
- Amg Pewaukee
- Address
- 1292 Capitol Dr, Pewaukee, WI 53072
- Phone
- (262) 785-7700
- Fax
- (262) 695-7377
Annual test volume the lab reported
- Waived tests
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pewaukee, WI
- Adava Care of Pewaukee-CbrfCertificate of Waiver, Assisted living facility52D2153202
- Adava Care of Pewaukee-RcacCertificate of Waiver, Assisted living facility52D2153147
- Anthony Hoang, MD SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2144320
- Biolife Plasma Services LPCertificate of Compliance, Other52D2282345
- Dimensions Living Pewaukee EastCertificate of Waiver, Assisted living facility52D2059797
- Dimensions Living Pewaukee WestCertificate of Waiver, Assisted living facility52D2098787
- Froedtert Community Hospital - PewaukeeCertificate of Compliance, Hospital52D2193939
- Howard Simon MD PLLCCertificate of Waiver, Other52D2214621
- Jnmj LLC DBA Brightstar CareCertificate of Waiver, Home health agency52D2026618
- Meijer Pharmacy #275Certificate of Waiver, Pharmacy52D2112699
Related
Questions
What is the CLIA number for Amg Pewaukee in Pewaukee?
52D1012904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amg Pewaukee hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1012904 expire?
The CMS file lists January 31, 2028 as the certificate expiration date; the certificate took effect February 1, 2026.