CLIA lab
CLIA 52D1022170: East Mequon Surgery Center
Mequon, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1022170 belongs to East Mequon Surgery Center in Mequon, WI.
Certificate of Waiver, effective November 9, 2024, expires November 8, 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
- November 9, 2024
- Certificate expiration
- November 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 2004
- Facility type
- Ambulatory surgery center
- 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
- 52D1022170
- Lab name
- East Mequon Surgery Center
- Address
- 12203 N Corporate Pkwy, Attn 2nd Floor Surgery Center Supervisor, Mequon, WI 53092
- Phone
- (262) 387-8383
- Fax
- (262) 387-8384
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mequon, WI
- AdventCertificate of Waiver, Physician office52D2184785
- Advocateaurora Health Center - East MequonCertificate of Waiver, Physician office52D2136322
- American Behavioral Clinics, SCCertificate of Waiver, Other52D2044095
- Ascension Columbia ST Mary's Hospital OzaukeeCertificate of Accreditation, Hospital52D0388660
- Ascension Columbia ST Mary's Hospital Ozaukee PocCertificate of Accreditation, Ancillary test site52D0890685
- Ascension Medical Group - MequonCertificate of Waiver, Physician office52D2252969
- Ascension Sacred Heart Rehabilitation HospitalCertificate of Waiver, Hospital52D0904432
- Ascension Seton Professional Building ObstetricsCertificate of Waiver, Physician office52D0886058
- Aurora East Mequon ClinicCertificate of Waiver, Physician office52D2256056
- Aurora Health Center - East MequonCertificate for Provider-Performed Microscopy Procedures, Physician office52D2210375
Related
Questions
What is the CLIA number for East Mequon Surgery Center in Mequon?
52D1022170, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does East Mequon Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1022170 expire?
The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.