CLIA lab
CLIA 52D2079869: Evergreen at Home, Home Health
Oshkosh, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2079869 belongs to Evergreen at Home, Home Health in Oshkosh, WI.
Certificate of Waiver, effective June 25, 2026, expires June 24, 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
- June 25, 2026
- Certificate expiration
- June 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 25, 2014
- Facility type
- Home health agency
- 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
- 52D2079869
- Lab name
- Evergreen at Home, Home Health
- Address
- 1125 N Westfield St, Oshkosh, WI 54902
- Phone
- (920) 237-7242
- Fax
- (920) 966-0334
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Evergreen at HomeCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Evergreen at Home, Home Health in Oshkosh?
52D2079869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen at Home, Home Health hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2079869 expire?
The CMS file lists June 24, 2028 as the certificate expiration date; the certificate took effect June 25, 2026.