CLIA lab
CLIA 52D2227749: Kellogg Peak Initiative, LLC
Boscobel, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2227749 belongs to Kellogg Peak Initiative, LLC in Boscobel, WI.
Certificate of Waiver, effective June 16, 2025, expires June 15, 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
- June 16, 2025
- Certificate expiration
- June 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 2021
- Facility type
- Other
- 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
- 52D2227749
- Lab name
- Kellogg Peak Initiative, LLC
- Address
- 45826 Hoover Hollow Rd, Boscobel, WI 53805
- Phone
- (414) 431-4508
- Fax
- (866) 529-5106
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Boscobel, WI
- Boscobel Area Health Care - Hospital NursingCertificate of Waiver, Ancillary test site52D1087493
- Boscobel Pharmacy IncCertificate of Waiver, Pharmacy52D0716936
- Care & Rehab-BoscobelCertificate of Waiver, Skilled nursing or nursing facility52D1087492
- Gundersen Boscobel Area Hospital & ClinicsCertificate of Waiver, Rural health clinic52D1016199
- Gundersen Boscobel Area Hospital and ClinicsCertificate of Compliance, Hospital52D0393832
Related
Questions
What is the CLIA number for Kellogg Peak Initiative, LLC in Boscobel?
52D2227749, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kellogg Peak Initiative, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2227749 expire?
The CMS file lists June 15, 2027 as the certificate expiration date; the certificate took effect June 16, 2025.