CLIA lab
CLIA 52D2168134: Potosi Tennyson Medical Clinic
Potosi, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2168134 belongs to Potosi Tennyson Medical Clinic in Potosi, WI.
Certificate of Waiver, effective June 21, 2025, expires June 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 21, 2025
- Certificate expiration
- June 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 21, 2019
- Facility type
- Community clinic
- Ownership (control type)
- Other
- 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
- 52D2168134
- Lab name
- Potosi Tennyson Medical Clinic
- Address
- 114 Hwy 61 N, Potosi, WI 53820
- Phone
- (608) 723-5351
- Fax
- (608) 723-6001
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Potosi Tennyson Medical Clinic in Potosi?
52D2168134, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Potosi Tennyson Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2168134 expire?
The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.