CLIA lab
CLIA 52D2193775: Shepherd's Inn Cbrf
Seymour, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2193775 belongs to Shepherd's Inn Cbrf in Seymour, WI.
Certificate of Waiver, effective September 24, 2026, expires September 23, 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
- September 24, 2026
- Certificate expiration
- September 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 52D2193775
- Lab name
- Shepherd's Inn Cbrf
- Address
- 621 W Factory St, Seymour, WI 54165
- Phone
- (920) 833-6856
- Fax
- (920) 833-1846
Annual test volume the lab reported
- Waived tests
- 850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Seymour, WI
- Bellin Hfmc-SeymourCertificate of Waiver, Physician office52D0394574
- Good Shepherd Services DBA Forest Glen CbrfCertificate of Waiver, Assisted living facility52D2193772
- Good Shepherd Services, LTDCertificate of Waiver, Skilled nursing or nursing facility52D0394570
- Meadow Wood Assisted LivingCertificate of Waiver, Assisted living facility52D2193958
- Prevea Health-SeymourCertificate of Accreditation, Physician office52D0948992
- Seymour Community School DistrictCertificate of Waiver, School or student health service52D2225280
- Seymour Rescue SquadCertificate of Waiver, Ambulance52D0982854
Related
Questions
What is the CLIA number for Shepherd's Inn Cbrf in Seymour?
52D2193775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shepherd's Inn Cbrf hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2193775 expire?
The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.