CLIA lab
CLIA 52D2003774: Beaver Dam Medical Clinics
Beaver Dam, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2003774 belongs to Beaver Dam Medical Clinics in Beaver Dam, WI.
Certificate of Waiver, effective May 18, 2025, expires May 17, 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 18, 2025
- Certificate expiration
- May 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 18, 2010
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 52D2003774
- Lab name
- Beaver Dam Medical Clinics
- Address
- 707 S University Ave, Beaver Dam, WI 53916
- Phone
- (920) 887-4099
- Fax
- (920) 887-5921
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Beaver Dam, WI
- Bdch Hillside Home Health Care/HospiceCertificate of Waiver, Hospice52D0684577
- Bdch Inc-Hillside ManorCertificate of Waiver, Skilled nursing or nursing facility52D0670224
- Beaver Dam Al Operations MC, LLCCertificate of Waiver, Assisted living facility52D2175791
- Beaver Dam Al Operations, LLCCertificate of Waiver, Assisted living facility52D2175793
- Beaver Dam CbocCertificate of Accreditation, Community clinic52D1016786
- Beaver Dam Fire DepartmentCertificate of Waiver, Ambulance52D0930689
- Beaver Dam Hometown PharmacyCertificate of Waiver, Pharmacy52D2124241
- Beaver Dam Reference LaboratoryCertificate of Accreditation, Independent52D0662012
- Beaver Dam Senior LivingCertificate of Waiver, Assisted living facility52D2194341
- Beaver Dam Unified School DistrictCertificate of Waiver, School or student health service52D2316764
Related
Questions
What is the CLIA number for Beaver Dam Medical Clinics in Beaver Dam?
52D2003774, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Dam Medical Clinics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2003774 expire?
The CMS file lists May 17, 2027 as the certificate expiration date; the certificate took effect May 18, 2025.