CLIA lab
CLIA 52D2100462: Premier Care of Wisconsin, LLC
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2100462 belongs to Premier Care of Wisconsin, LLC in Fond Du Lac, WI.
Certificate of Waiver, effective August 14, 2025, expires August 13, 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
- August 14, 2025
- Certificate expiration
- August 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2015
- Facility type
- Other
- 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
- 52D2100462
- Lab name
- Premier Care of Wisconsin, LLC
- Additional name
- DBA Community Medical Services - Fond Du Lac
- Address
- 23 West Scott St, Fond Du Lac, WI 54935
- Phone
- (920) 926-0101
- Fax
- (920) 926-0060
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adelaide PlaceCertificate of Waiver, Assisted living facility52D2122417
- Agnesian DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111114
- Agnesian Healthcare Adult Day ServicesCertificate of Waiver, Assisted living facility52D2197672
- Allay Home & Hospice IncCertificate of Waiver, Home health agency52D2016092
- Aurora Fond Du Lac ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office52D0908714
- Biolife Plasma Services LPCertificate of Compliance, Other52D1005039
- Blandine House IncCertificate of Waiver, Other52D2212447
- City of Fond Du Lac Fire RescueCertificate of Waiver, Ambulance52D1008743
- Consultants Laboratory of Wi LLC WestCertificate of Waiver, Physician office52D0876165
Related
Questions
What is the CLIA number for Premier Care of Wisconsin, LLC in Fond Du Lac?
52D2100462, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Care of Wisconsin, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2100462 expire?
The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.