CLIA lab
CLIA 52D2075145: Thedacare Rural Health Initiative
Shawano, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2075145 belongs to Thedacare Rural Health Initiative in Shawano, WI.
Certificate of Waiver, effective March 24, 2026, expires March 23, 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
- March 24, 2026
- Certificate expiration
- March 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 24, 2014
- Facility type
- Rural health clinic
- 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
- 52D2075145
- Lab name
- Thedacare Rural Health Initiative
- Address
- 100 County Road B, Shawano, WI 54166
- Phone
- (715) 524-1488
- Fax
- (715) 526-7205
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 Shawano, WI
- Aurora Health Care - ShawanoCertificate for Provider-Performed Microscopy Procedures, Physician office52D1033084
- Birch Hill Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0671511
- Cottages Memory Care, theCertificate of Waiver, Assisted living facility52D2048514
- Cottages on Golden Pond, theCertificate of Waiver, Assisted living facility52D2048512
- Evergreen Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0394594
- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2023671
- Fresenius Medical Care ShawanoCertificate of Waiver, End stage renal disease dialysis facility52D2013009
- Prevea Shawano Health Center - LabCertificate of Accreditation, Physician office52D2145550
- Sam 25 Community Health ClinicCertificate of Waiver, Community clinic52D2241947
- Shawano Ambulance ServiceCertificate of Waiver, Ambulance52D1059007
Related
Questions
What is the CLIA number for Thedacare Rural Health Initiative in Shawano?
52D2075145, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Rural Health Initiative hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2075145 expire?
The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.