CLIA lab
CLIA 52D2172562: Arbor Pines Inc
Wautoma, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2172562 belongs to Arbor Pines Inc in Wautoma, WI.
Certificate of Waiver, effective September 25, 2025, expires September 24, 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
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2019
- Facility type
- Other
- 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
- 52D2172562
- Lab name
- Arbor Pines Inc
- Address
- 540 West Prairie Street, Wautoma, WI 54982
- Phone
- (920) 787-4466
- Fax
- (920) 787-9068
Annual test volume the lab reported
- Waived tests
- 2,744
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Forefront Dermatology, SCCertificate of Waiver, Physician office52D2029954
- Heartland HouseCertificate of Waiver, Assisted living facility52D1068446
- Noble Community ClinicsCertificate of Waiver, Federally qualified health center52D0398011
- Silver Lake Manor Wautoma LLC CbrfCertificate of Waiver, Assisted living facility52D2004137
- Thedacare Physicians - Wautoma Hwy 22 NorthCertificate for Provider-Performed Microscopy Procedures, Physician office52D0397741
- Waushara County Emergency ServicesCertificate of Waiver, Ambulance52D0930739
- Waushara County HealthCertificate of Waiver, Public health laboratory52D0712972
- Waushara County JailCertificate of Waiver, Other52D2264111
- Wautoma Hometown Pharmacy LLCCertificate of Waiver, Pharmacy52D2196191
Related
Questions
What is the CLIA number for Arbor Pines Inc in Wautoma?
52D2172562, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Arbor Pines Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2172562 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.