CLIA lab

CLIA 52D2164575: Optimal Health and Wellness

Baraboo, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2164575 belongs to Optimal Health and Wellness in Baraboo, WI.

Certificate of Waiver, effective April 9, 2025, expires April 8, 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
April 9, 2025
Certificate expiration
April 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 9, 2019
Facility type
Other practitioner
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
52D2164575
Lab name
Optimal Health and Wellness
Address
515 S Blvd Suite C, Baraboo, WI 53913
Phone
(608) 844-0496
Fax
(616) 326-9554

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Baraboo, WI

Related

Questions

What is the CLIA number for Optimal Health and Wellness in Baraboo?

52D2164575, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Optimal Health and Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2164575 expire?

The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.

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