CLIA lab

CLIA 52D2215229: Camp Moshava Wild Rose Inc

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

CLIA number 52D2215229 belongs to Camp Moshava Wild Rose Inc in Wild Rose, WI.

Certificate of Waiver, effective March 2, 2025, expires March 1, 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
March 2, 2025
Certificate expiration
March 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 2, 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
52D2215229
Lab name
Camp Moshava Wild Rose Inc
Address
W8256 County Road P, Wild Rose, WI 54984
Phone
(847) 674-9733
Fax
(847) 750-0222

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Wild Rose, WI

Related

Questions

What is the CLIA number for Camp Moshava Wild Rose Inc in Wild Rose?

52D2215229, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Camp Moshava Wild Rose Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2215229 expire?

The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.

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