CLIA lab
CLIA 52D1090159: Lake Country Endoscopy Center
Oconomowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1090159 belongs to Lake Country Endoscopy Center in Oconomowoc, WI.
Certificate of Waiver, effective October 3, 2026, expires October 2, 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
- October 3, 2026
- Certificate expiration
- October 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2008
- Facility type
- Ambulatory surgery center
- 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
- 52D1090159
- Lab name
- Lake Country Endoscopy Center
- Address
- 1185 Corporate Center Dr Ste 125, Oconomowoc, WI 53066
- Phone
- (414) 266-9209
- Fax
- (414) 454-0971
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Oconomowoc, WI
- AdventCertificate of Waiver, Physician office52D2184780
- Allegiance Medical, SCCertificate of Waiver, Physician office52D2328858
- Aurora Wilkinson Medical Clinic UrgentCertificate of Waiver, Physician office52D2000602
- Dimensions Living OconomowocCertificate of Waiver, Assisted living facility52D2117984
- Everside Health, Llc-Oconomowoc Sentry EquipmentCertificate of Waiver, Physician office52D2149235
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2108034
- Lake Area Free ClinicCertificate of Waiver, Community clinic52D0987626
- Lake Country Pediatrics, SCCertificate of Waiver, Physician office52D0937038
- Lutheran Homes of OconomowocCertificate of Waiver, Skilled nursing or nursing facility52D0674743
- Medcor, Inc Target DCCertificate of Waiver, Industrial52D2018744
Related
Questions
What is the CLIA number for Lake Country Endoscopy Center in Oconomowoc?
52D1090159, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Country Endoscopy Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1090159 expire?
The CMS file lists October 2, 2028 as the certificate expiration date; the certificate took effect October 3, 2026.