CLIA lab

CLIA 52D2212843: Silver Birch Ranch

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

CLIA number 52D2212843 belongs to Silver Birch Ranch in White Lake, WI.

Certificate of Waiver, effective February 8, 2025, expires February 7, 2027.

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
February 8, 2025
Certificate expiration
February 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 8, 2021
Facility type
Other
Ownership (control type)
Religious affiliation
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
52D2212843
Lab name
Silver Birch Ranch
Address
N6120 Sawyer Lake Rd, White Lake, WI 54491
Phone
(715) 484-2742
Fax
(715) 484-2743

Annual test volume the lab reported

Waived tests
75

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 Silver Birch Ranch in White Lake?

52D2212843, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Silver Birch Ranch hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2212843 expire?

The CMS file lists February 7, 2027 as the certificate expiration date; the certificate took effect February 8, 2025.

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