CLIA lab
CLIA 52D2166605: Premise Health of Wisconsin Medical, SC
Windsor, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2166605 belongs to Premise Health of Wisconsin Medical, SC in Windsor, WI.
Certificate of Waiver, effective May 21, 2025, expires May 20, 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
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
- May 21, 2025
- Certificate expiration
- May 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2019
- 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
- 52D2166605
- Lab name
- Premise Health of Wisconsin Medical, SC
- Address
- 6091 Pepsi Way, Windsor, WI 53598
- Phone
- (608) 338-0400
- Fax
- (608) 824-8817
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Windsor, WI
Related
Questions
What is the CLIA number for Premise Health of Wisconsin Medical, SC in Windsor?
52D2166605, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Wisconsin Medical, SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2166605 expire?
The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.