CLIA lab

CLIA 52D2193779: Evergreen Sharehaven

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

CLIA number 52D2193779 belongs to Evergreen Sharehaven in Oshkosh, 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
52D2193779
Lab name
Evergreen Sharehaven
Address
1095 North Westfield St, Oshkosh, WI 54902
Phone
(920) 233-2340
Fax
(920) 237-2109

Annual test volume the lab reported

Waived tests
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 Evergreen Sharehaven in Oshkosh?

52D2193779, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Sharehaven hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2193779 expire?

The CMS file lists September 23, 2028 as the certificate expiration date; the certificate took effect September 24, 2026.

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