CLIA lab
CLIA 52D2007084: Northwest Wi Community Services Agency
Superior, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2007084 belongs to Northwest Wi Community Services Agency in Superior, WI.
Certificate of Waiver, effective May 7, 2026, expires May 6, 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
- May 7, 2026
- Certificate expiration
- May 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 7, 2010
- Facility type
- Other
- 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
- 52D2007084
- Lab name
- Northwest Wi Community Services Agency
- Additional name
- Wic Program Douglas County
- Address
- 1805 N 14th St, Suite 4, Superior, WI 54880
- Phone
- (715) 394-2750
- Fax
- (715) 394-4651
Annual test volume the lab reported
- Waived tests
- 2,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Superior, WI
- Aspirus ST Luke's Superior ClinicCertificate of Waiver, Physician office52D0397185
- Challenge Center, IncCertificate of Waiver, Assisted living facility52D0982182
- Douglas County Dept of HHS,Certificate of Waiver, Public health laboratory52D0662131
- Douglas County JailCertificate of Waiver, Other52D2261691
- Dove Healthcare - SuperiorCertificate of Waiver, Skilled nursing or nursing facility52D0670673
- Essentia Health ST Mary's - Superior ClinicCertificate of Waiver, Ancillary test site52D0983026
- Health Care Clinic IncCertificate for Provider-Performed Microscopy Procedures, Community clinic52D0396953
- Lake Superior Community Health Center - SuperiorCertificate of Accreditation, Federally qualified health center52D2249300
- New Perspective - Twin PortsCertificate of Waiver, Assisted living facility52D2025637
- Rem Wisconsin IIICertificate of Waiver, Assisted living facility52D2098141
Related
Questions
What is the CLIA number for Northwest Wi Community Services Agency in Superior?
52D2007084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northwest Wi Community Services Agency hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2007084 expire?
The CMS file lists May 6, 2028 as the certificate expiration date; the certificate took effect May 7, 2026.