CLIA lab
CLIA 52D2090719: Integrative Pain Management
De Pere, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2090719 belongs to Integrative Pain Management in De Pere, WI.
Certificate of Waiver, effective January 29, 2025, expires January 28, 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 29, 2025
- Certificate expiration
- January 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 29, 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
- 52D2090719
- Lab name
- Integrative Pain Management
- Address
- 3108 Mid Valley Rd, De Pere, WI 54115
- Phone
- (920) 532-9117
- Fax
- (920) 532-9143
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 De Pere, WI
- Angels Touch CbrfCertificate of Waiver, Assisted living facility52D2231820
- Angels Touch CbrfCertificate of Waiver, Assisted living facility52D2231821
- Angels Touch CbrfCertificate of Waiver, Assisted living facility52D2231822
- Anovia Health, SC- De PereCertificate of Waiver, Community clinic52D2271262
- Aurora Health Care - De PereCertificate of Waiver, Physician office52D0930724
- Bellin Hfmc De PereCertificate of Compliance, Physician office52D0917345
- Bellin Hfmc-East De PereCertificate of Compliance, Physician office52D0992317
- Caraton Commons Depere BLD 1Certificate of Waiver, Assisted living facility52D2039265
- Caraton Commons Depere BLD 2Certificate of Waiver, Assisted living facility52D2039263
- Caraton Commons Depere BLD 3Certificate of Waiver, Assisted living facility52D2039264
Related
Questions
What is the CLIA number for Integrative Pain Management in De Pere?
52D2090719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Integrative Pain Management hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2090719 expire?
The CMS file lists January 28, 2027 as the certificate expiration date; the certificate took effect January 29, 2025.