CLIA lab
CLIA 52D2125972: Cleanslate Medical Group
Glendale, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2125972 belongs to Cleanslate Medical Group in Glendale, 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
- 52D2125972
- Lab name
- Cleanslate Medical Group
- Address
- 377 West River Woods Parkway #201, Glendale, WI 53212
- Phone
- (414) 323-6881
- Fax
- (414) 539-3651
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.
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Related
Questions
What is the CLIA number for Cleanslate Medical Group in Glendale?
52D2125972, 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 52D2125972 expire?
The CMS file lists February 15, 2027 as the certificate expiration date; the certificate took effect February 16, 2025.