CLIA lab

CLIA 52D2167247: Prevea Sheboygan Medical Office Building

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

CLIA number 52D2167247 belongs to Prevea Sheboygan Medical Office Building in Sheboygan, WI.

Certificate for Provider-Performed Microscopy Procedures, effective June 5, 2025, expires June 4, 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 for Provider-Performed Microscopy Procedures
Certificate effective
June 5, 2025
Certificate expiration
June 4, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 5, 2019
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
52D2167247
Lab name
Prevea Sheboygan Medical Office Building
Address
3113 Saemann Avenue, Sheboygan, WI 53081
Phone
(920) 783-3171
Fax
(920) 272-1275

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
300
Total
1,300

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 Prevea Sheboygan Medical Office Building in Sheboygan?

52D2167247, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prevea Sheboygan Medical Office Building hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 52D2167247 expire?

The CMS file lists June 4, 2027 as the certificate expiration date; the certificate took effect June 5, 2025.

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