CLIA lab
CLIA 52D2197904: PHW DBA Kirkland Crossings
Pewaukee, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2197904 belongs to PHW DBA Kirkland Crossings in Pewaukee, WI.
Certificate of Waiver, effective October 28, 2024, expires October 27, 2026.
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
- October 28, 2024
- Certificate expiration
- October 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 28, 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
- 52D2197904
- Lab name
- PHW DBA Kirkland Crossings
- Address
- 700 Quinlan Dr, Pewaukee, WI 53072
- Phone
- (262) 695-5802
- Fax
- (262) 691-8757
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.
Other labs in Pewaukee, WI
- Adava Care of Pewaukee-CbrfCertificate of Waiver, Assisted living facility52D2153202
- Adava Care of Pewaukee-RcacCertificate of Waiver, Assisted living facility52D2153147
- Amg PewaukeeCertificate of Waiver, Physician office52D1012904
- Anthony Hoang, MD SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2144320
- Biolife Plasma Services LPCertificate of Compliance, Other52D2282345
- Dimensions Living Pewaukee EastCertificate of Waiver, Assisted living facility52D2059797
- Dimensions Living Pewaukee WestCertificate of Waiver, Assisted living facility52D2098787
- Froedtert Community Hospital - PewaukeeCertificate of Compliance, Hospital52D2193939
- Howard Simon MD PLLCCertificate of Waiver, Other52D2214621
- Jnmj LLC DBA Brightstar CareCertificate of Waiver, Home health agency52D2026618
Related
Questions
What is the CLIA number for PHW DBA Kirkland Crossings in Pewaukee?
52D2197904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PHW DBA Kirkland Crossings hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2197904 expire?
The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.