CLIA lab
CLIA 52D2090123: Mmc-Beaver Dam Waupun Eye Clinic
Waupun, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2090123 belongs to Mmc-Beaver Dam Waupun Eye Clinic in Waupun, WI.
Certificate of Waiver, effective January 15, 2025, expires January 14, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 15, 2025
- Certificate expiration
- January 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 15, 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
- 52D2090123
- Lab name
- Mmc-Beaver Dam Waupun Eye Clinic
- Address
- 140 Gateway Dr, Waupun, WI 53963
- Phone
- (920) 324-3191
- Fax
- (920) 324-5026
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waupun, WI
- Christian Living HomeCertificate of Waiver, Assisted living facility52D2324805
- Christian Senior LivingCertificate of Waiver, Assisted living facility52D2324808
- Complete Care at Christian HomeCertificate of Waiver, Skilled nursing or nursing facility52D0673255
- New Medical CenterCertificate of Waiver, Physician office52D2269416
- Prairie Ridge Assisted Living (Cbrf)Certificate of Waiver, Assisted living facility52D2026846
- Prairie Ridge Assisted Living (Rcac)Certificate of Waiver, Assisted living facility52D2026844
- SSM Health Laboratories Waupun Memorial HospitalCertificate of Accreditation, Independent52D0671036
- SSM Health at Work-Waupun Employee Wellness ClinicCertificate of Waiver, Physician office52D2295259
- Waupun Area School DistrictCertificate of Waiver, School or student health service52D2222451
- Waupun Memorial Hospital NursingCertificate of Waiver, Ancillary test site52D0869907
Related
Questions
What is the CLIA number for Mmc-Beaver Dam Waupun Eye Clinic in Waupun?
52D2090123, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mmc-Beaver Dam Waupun Eye Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2090123 expire?
The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.