CLIA lab
CLIA 52D2239331: Thedacare Physicians Eastridge
Berlin, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2239331 belongs to Thedacare Physicians Eastridge in Berlin, WI.
Certificate of Waiver, effective October 12, 2025, expires October 11, 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
- October 12, 2025
- Certificate expiration
- October 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2021
- Facility type
- Physician office
- 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
- 52D2239331
- Lab name
- Thedacare Physicians Eastridge
- Address
- W8232 Hwy 91 Ste 3, Berlin, WI 54923
- Phone
- (920) 361-6400
- Fax
- (920) 361-6407
Annual test volume the lab reported
- Waived tests
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Berlin, WI
- Berlin Area School DistrictCertificate of Waiver, School or student health service52D2229600
- Berlin EMSCertificate of Waiver, Ambulance52D0932013
- Brown-Wilcox Retirement Home (Cbrf)Certificate of Waiver, Other52D0963141
- Green Lake County DialysisCertificate of Waiver, End stage renal disease dialysis facility52D2102510
- Patriot PlaceCertificate of Waiver, Assisted living facility52D1107030
- Thedacare Medical Center - BerlinCertificate of Accreditation, Hospital52D0397602
- Thedacare Medical Center - Berlin, IncCertificate of Waiver, Skilled nursing or nursing facility52D0397611
- Thedacare Physicians - BerlinCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111810
- Thedacare Physicians - UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111812
- Thedacare Physicians Berlin Walk-InCertificate of Waiver, Physician office52D2239327
Related
Questions
What is the CLIA number for Thedacare Physicians Eastridge in Berlin?
52D2239331, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians Eastridge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2239331 expire?
The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.