CLIA lab
CLIA 52D2108037: Providence Family Medical Clinic, SC
Glendale, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2108037 belongs to Providence Family Medical Clinic, SC in Glendale, WI.
Certificate of Waiver, effective January 27, 2026, expires January 26, 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
- January 27, 2026
- Certificate expiration
- January 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 27, 2016
- 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
- 52D2108037
- Lab name
- Providence Family Medical Clinic, SC
- Address
- 2500 W Silver Spring Dr, Glendale, WI 53209
- Phone
- (414) 800-7171
- Fax
- (414) 800-7166
Annual test volume the lab reported
- Waived tests
- 2,500
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 Providence Family Medical Clinic, SC in Glendale?
52D2108037, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Family Medical Clinic, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2108037 expire?
The CMS file lists January 26, 2028 as the certificate expiration date; the certificate took effect January 27, 2026.