CLIA lab

CLIA 52D2207660: Wisconsin Spine and Pain SC

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

CLIA number 52D2207660 belongs to Wisconsin Spine and Pain SC in West Bend, WI.

Certificate of Waiver, effective December 30, 2024, expires December 29, 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
December 30, 2024
Certificate expiration
December 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 2020
Facility type
Physician office
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
52D2207660
Lab name
Wisconsin Spine and Pain SC
Address
1000 Gateway Court Suite 100, West Bend, WI 53095
Phone
(920) 838-6426
Fax
(888) 720-0495

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in West Bend, WI

Related

Questions

What is the CLIA number for Wisconsin Spine and Pain SC in West Bend?

52D2207660, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wisconsin Spine and Pain SC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2207660 expire?

The CMS file lists December 29, 2026 as the certificate expiration date; the certificate took effect December 30, 2024.

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