CLIA lab
CLIA 52D2195208: Hayat Pharmacy 12, LLC
Cudahy, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2195208 belongs to Hayat Pharmacy 12, LLC in Cudahy, WI.
Certificate of Waiver, effective October 7, 2024, expiration date October 6, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 7, 2024
- Certificate expiration
- October 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 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
- 52D2195208
- Lab name
- Hayat Pharmacy 12, LLC
- Address
- 5911 S Packard Ave, Cudahy, WI 53110
- Phone
- (414) 744-7777
- Fax
- (414) 744-7776
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 Hayat Pharmacy 12, LLC in Cudahy?
52D2195208, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hayat Pharmacy 12, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2195208 expire?
The CMS file lists October 6, 2026 as the certificate expiration date; the certificate took effect October 7, 2024.