CLIA lab

CLIA 52D1059007: Shawano Ambulance Service

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

CLIA number 52D1059007 belongs to Shawano Ambulance Service in Shawano, WI.

Certificate of Waiver, effective May 20, 2025, expires May 19, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
May 20, 2025
Certificate expiration
May 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 20, 2006
Facility type
Ambulance
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

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

Lab and contact

CLIA number
52D1059007
Lab name
Shawano Ambulance Service
Address
220 N Main St, Shawano, WI 54166
Phone
(715) 524-2036
Fax
(715) 524-3292

Annual test volume the lab reported

Waived tests
400

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

Other labs in Shawano, WI

Related

Questions

What is the CLIA number for Shawano Ambulance Service in Shawano?

52D1059007, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Shawano Ambulance Service hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1059007 expire?

The CMS file lists May 19, 2027 as the certificate expiration date; the certificate took effect May 20, 2025.

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