CLIA lab
CLIA 52D1073672: Premise Health of Wisconsin Medical, SC
Mineral Point, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1073672 belongs to Premise Health of Wisconsin Medical, SC in Mineral Point, WI.
Certificate of Waiver, effective September 13, 2025, expires September 12, 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
- September 13, 2025
- Certificate expiration
- September 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 13, 2007
- Facility type
- Physician office
- 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
- 52D1073672
- Lab name
- Premise Health of Wisconsin Medical, SC
- Address
- 856 Fair Street, Emissions Solutions Plant, Mineral Point, WI 53565
- Phone
- (608) 987-5985
- Fax
- (608) 987-5983
Annual test volume the lab reported
- Waived tests
- 40
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mineral Point, WI
- Driftless Diabetes Management, LLCCertificate of Waiver, Other52D2297969
- Mineral Point Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0883009
- Mineral Point Rescue Squad IncCertificate of Waiver, Ambulance52D0926820
- SSM Health Dean Medical Group - Mineral PointCertificate of Waiver, Rural health clinic52D0393017
- Upland Hills Health Clinic- Mineral PointCertificate of Waiver, Physician office52D0708859
Related
Questions
What is the CLIA number for Premise Health of Wisconsin Medical, SC in Mineral Point?
52D1073672, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Wisconsin Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1073672 expire?
The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.