CLIA lab
CLIA 52D2125971: Cleanslate Medical Group
Waukesha, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2125971 belongs to Cleanslate Medical Group in Waukesha, WI.
Certificate of Waiver, effective February 16, 2025, expires February 15, 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
- February 16, 2025
- Certificate expiration
- February 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 16, 2017
- 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
- 52D2125971
- Lab name
- Cleanslate Medical Group
- Address
- 20611 Watertown Rd Suite E, Waukesha, WI 53186
- Phone
- (262) 901-4550
- Fax
- (262) 395-4256
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 Waukesha, WI
- Affiliated Dermatologists SCCertificate of Compliance, Physician office52D1055919
- Affiliated Health of WisconsinCertificate of Waiver, Physician office52D2091825
- Aria of WaukeshaCertificate of Waiver, Skilled nursing or nursing facility52D0697575
- Aurora Health Care - SW WaukeshaCertificate of Waiver, Physician office52D2280991
- Aurora Health Care - WaukeshaCertificate for Provider-Performed Microscopy Procedures, Physician office52D2109079
- Aurora Health Center Summit - WaukeshaCertificate of Compliance, Physician office52D2135993
- Aurora Medical Center Summit Surgery CenterCertificate of Waiver, Ambulatory surgery center52D0914289
- Avina of PewaukeeCertificate of Waiver, Skilled nursing or nursing facility52D1100249
- Bluemound Surgery CenterCertificate of Waiver, Ambulatory surgery center52D1082472
- Carroll University Student Health CenterCertificate for Provider-Performed Microscopy Procedures, School or student health service52D0897650
Related
Questions
What is the CLIA number for Cleanslate Medical Group in Waukesha?
52D2125971, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cleanslate Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2125971 expire?
The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.