CLIA lab

CLIA 52D1040308: Interim Healthcare of Western Wisconsin

Hudson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D1040308 belongs to Interim Healthcare of Western Wisconsin in Hudson, WI.

Certificate of Waiver, effective January 9, 2026, expires January 8, 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
January 9, 2026
Certificate expiration
January 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 5, 2005
Facility type
Home health agency
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D1040308
Lab name
Interim Healthcare of Western Wisconsin
Address
625 Commerce Dr, Suite 200, Hudson, WI 54016
Phone
(715) 377-9617
Fax
(715) 377-9623

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Affiliated CLIA numbers

Other labs in Hudson, WI

Related

Questions

What is the CLIA number for Interim Healthcare of Western Wisconsin in Hudson?

52D1040308, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Interim Healthcare of Western Wisconsin hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1040308 expire?

The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.

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