CLIA lab

CLIA 52D1097433: Centennial Inn

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

CLIA number 52D1097433 belongs to Centennial Inn in Oshkosh, WI.

Certificate of Waiver, effective December 4, 2024, expires December 3, 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
December 4, 2024
Certificate expiration
December 3, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
March 26, 2009
Facility type
Assisted living facility
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
52D1097433
Lab name
Centennial Inn
Address
1628 N Main St, Oshkosh, WI 54901
Phone
(920) 236-9360
Fax
(920) 236-9362

Annual test volume the lab reported

Waived tests
10,000

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

Other labs in Oshkosh, WI

Related

Questions

What is the CLIA number for Centennial Inn in Oshkosh?

52D1097433, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Centennial Inn hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1097433 expire?

The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.

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