CLIA lab
CLIA 52D2133093: Green Lake County Correctional Facility
Green Lake, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2133093 belongs to Green Lake County Correctional Facility in Green Lake, WI.
Certificate of Waiver, effective July 6, 2025, expires July 5, 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
- July 6, 2025
- Certificate expiration
- July 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 2017
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 52D2133093
- Lab name
- Green Lake County Correctional Facility
- Address
- 571 County Road A, Green Lake, WI 54941
- Phone
- (920) 294-4059
- Fax
- (920) 294-4191
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Green Lake, WI
- Barrett House of Green LakeCertificate of Waiver, Assisted living facility52D2059242
- Barrett House of Green Lake RcacCertificate of Waiver, Other52D1012636
- Green Lake Co Human Services-Hlth UnitCertificate of Waiver, Public health laboratory52D0663884
- Thedacare Physicians Green LakeCertificate of Waiver, Physician office52D2239324
Related
Questions
What is the CLIA number for Green Lake County Correctional Facility in Green Lake?
52D2133093, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Green Lake County Correctional Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2133093 expire?
The CMS file lists July 5, 2027 as the certificate expiration date; the certificate took effect July 6, 2025.