CLIA lab
CLIA 52D2214621: Howard Simon MD PLLC
Pewaukee, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2214621 belongs to Howard Simon MD PLLC in Pewaukee, WI.
Certificate of Waiver, effective February 24, 2025, expires February 23, 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 24, 2025
- Certificate expiration
- February 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 2021
- Facility type
- Other
- 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
- 52D2214621
- Lab name
- Howard Simon MD PLLC
- Additional name
- DBA Simonmed Imaging-Pewaukee
- Address
- 2005 Silvernail Rd, Pewaukee, WI 53072
- Phone
- (262) 746-5545
- Fax
- (262) 746-5546
Annual test volume the lab reported
- Waived tests
- 500
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 Howard Simon MD PLLC in Pewaukee?
52D2214621, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Howard Simon MD PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2214621 expire?
The CMS file lists February 23, 2027 as the certificate expiration date; the certificate took effect February 24, 2025.