CLIA lab
CLIA 52D2183927: Good Value Pharmacy Larsen-Mayer
Kenosha, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2183927 belongs to Good Value Pharmacy Larsen-Mayer in Kenosha, WI.
Certificate of Waiver, effective May 12, 2026, expires May 11, 2028.
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
- May 12, 2026
- Certificate expiration
- May 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2020
- Facility type
- Pharmacy
- 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
- 52D2183927
- Lab name
- Good Value Pharmacy Larsen-Mayer
- Address
- 3825 39th Ave Ste 100, Kenosha, WI 53144
- Phone
- (262) 658-8124
- Fax
- (262) 564-8667
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aurora Health CareCertificate of Waiver, Physician office52D2322713
- Aurora Health Care Metro Inc - Kenosha SouthCertificate of Compliance, Ancillary test site52D0979989
- Aurora Health CenterCertificate of Waiver, Physician office52D2144341
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- Aurora Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office52D2148960
Related
Questions
What is the CLIA number for Good Value Pharmacy Larsen-Mayer in Kenosha?
52D2183927, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Value Pharmacy Larsen-Mayer hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2183927 expire?
The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.