CLIA lab
CLIA 52D2264012: Pediatrust
Eagle River, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2264012 belongs to Pediatrust in Eagle River, WI.
Certificate of Waiver, effective July 8, 2026, expires July 7, 2028.
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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2022
- Facility type
- Independent
- 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
- 52D2264012
- Lab name
- Pediatrust
- Address
- 4040 Ojibwa Dr, Eagle River, WI 54521
- Phone
- (224) 330-6300
- Fax
- (224) 330-6305
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Eagle River, WI
- Aspirus Eagle River ClinicCertificate of Waiver, Physician office52D0961760
- Aspirus Eagle River HospitalCertificate of Accreditation, Hospital52D0395853
- Camp Menominee, IncCertificate of Waiver, Other52D2217025
- Marshfield Clinic Eagle RiverCertificate of Waiver, Physician office52D1062024
- Milestone Senior LivingCertificate of Waiver, Assisted living facility52D2018420
- Nature's PointeCertificate of Waiver, Assisted living facility52D2250022
- Nova Integrated CareCertificate of Waiver, Physician office52D2321775
- Pedia TrustCertificate of Waiver, Independent52D2224962
- Pedia TrustCertificate of Waiver, Independent52D2226385
- Towering Pines IncCertificate of Waiver, Other52D2216936
Related
Questions
What is the CLIA number for Pediatrust in Eagle River?
52D2264012, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatrust hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2264012 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.