CLIA lab

CLIA 52D2081335: Northlakes Community Clinic White Lake

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

CLIA number 52D2081335 belongs to Northlakes Community Clinic White Lake in White Lake, WI.

Certificate of Waiver, effective July 23, 2026, expires July 22, 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
July 23, 2026
Certificate expiration
July 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2014
Facility type
Federally qualified health center
Ownership (control type)
Other
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
52D2081335
Lab name
Northlakes Community Clinic White Lake
Address
524 Bissell Street, White Lake, WI 54491
Phone
(715) 882-2353
Fax
(715) 276-1428

Annual test volume the lab reported

Waived tests
500

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

Other labs in White Lake, WI

Related

Questions

What is the CLIA number for Northlakes Community Clinic White Lake in White Lake?

52D2081335, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northlakes Community Clinic White Lake hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2081335 expire?

The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.

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