CLIA lab
CLIA 52D2147489: Peterson Dermatology SC
Dodgeville, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2147489 belongs to Peterson Dermatology SC in Dodgeville, WI.
Certificate of Waiver, effective April 20, 2026, expires April 19, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 20, 2026
- Certificate expiration
- April 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 20, 2018
- 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
- 52D2147489
- Lab name
- Peterson Dermatology SC
- Address
- 1204 N Joseph Street, Dodgeville, WI 53533
- Phone
- (608) 574-5044
- Fax
- (608) 291-3487
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dodgeville, WI
- Community Connections Free ClinicCertificate for Provider-Performed Microscopy Procedures, Community clinic52D1059401
- Corner Drug Hometown PharmacyCertificate of Waiver, Pharmacy52D2126389
- Crest Ridge Assisted LivingCertificate of Waiver, Assisted living facility52D2193664
- Dodgeville Area Ambulance ServiceCertificate of Waiver, Ambulance52D0926379
- Fresenius Medical Care DodgevilleCertificate of Waiver, End stage renal disease dialysis facility52D2098647
- Healthstat Health Center - Lands EndCertificate of Waiver, Other52D2235054
- Iowa County Health DepartmentCertificate of Waiver, Community clinic52D2268844
- Iowa County JailCertificate of Waiver, Other52D2048511
- SSM Health Dean Medical Group - DodgevilleCertificate of Waiver, Physician office52D0392708
- Southwestern Wi Community Action Program, IncCertificate of Waiver, Community clinic52D2167284
Related
Questions
What is the CLIA number for Peterson Dermatology SC in Dodgeville?
52D2147489, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Peterson Dermatology SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2147489 expire?
The CMS file lists April 19, 2028 as the certificate expiration date; the certificate took effect April 20, 2026.