CLIA lab
CLIA 52D2089531: Premise Health of Wisconisn Medical, SC
Oshkosh, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2089531 belongs to Premise Health of Wisconisn Medical, SC in Oshkosh, WI.
Certificate of Waiver, effective January 5, 2025, expires January 4, 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
- January 5, 2025
- Certificate expiration
- January 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 52D2089531
- Lab name
- Premise Health of Wisconisn Medical, SC
- Address
- 292 Ohio St, Oshkosh, WI 54902
- Phone
- (920) 267-5332
- Fax
- (920) 267-5287
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Premise Health of Wisconisn Medical, SC in Oshkosh?
52D2089531, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Wisconisn Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2089531 expire?
The CMS file lists January 4, 2027 as the certificate expiration date; the certificate took effect January 5, 2025.