CLIA lab
CLIA 52D2193959: PHW DBA Fairway Knoll
Germantown, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2193959 belongs to PHW DBA Fairway Knoll in Germantown, WI.
Certificate of Waiver, effective September 25, 2026, expires September 24, 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 25, 2026
- Certificate expiration
- September 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 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
- 52D2193959
- Lab name
- PHW DBA Fairway Knoll
- Address
- N112 W17500 Mequon Rd, Germantown, WI 53022
- Phone
- (262) 735-7902
- Fax
- (262) 735-7901
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ascension Columbia ST Mary's Ozaukee at GermantownCertificate of Waiver, Physician office52D1014602
- Aurora Germantown ClinicCertificate of Waiver, Physician office52D2256057
- Aurora Health Center - GermantownCertificate of Waiver, Physician office52D2118342
- Aurora Health Center - GermantownCertificate of Waiver, Ambulatory surgery center52D2118668
- Aurora Health Center - Germantown South ObgynCertificate for Provider-Performed Microscopy Procedures, Physician office52D2118091
- Aurora Healthcare Metro Inc Germantown OncologyCertificate of Compliance, Physician office52D2117466
- Careatc - Ua 75 Plumber UnionCertificate of Waiver, Physician office52D2184190
- Complete Care at GermantownCertificate of Waiver, Skilled nursing or nursing facility52D0964981
Related
Questions
What is the CLIA number for PHW DBA Fairway Knoll in Germantown?
52D2193959, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PHW DBA Fairway Knoll hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2193959 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.