CLIA lab
CLIA 52D2264111: Waushara County Jail
Wautoma, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2264111 belongs to Waushara County Jail in Wautoma, WI.
Certificate of Waiver, effective July 11, 2026, expires July 10, 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 11, 2026
- Certificate expiration
- July 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 11, 2022
- 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
- 52D2264111
- Lab name
- Waushara County Jail
- Address
- 430 E Division St, Wautoma, WI 54982
- Phone
- (423) 206-2002
- Fax
- (423) 305-6977
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.
Other labs in Wautoma, WI
- Arbor Pines IncCertificate of Waiver, Other52D2172562
- Aurora Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office52D1000631
- Forefront Dermatology, SCCertificate of Waiver, Physician office52D2029954
- Heartland HouseCertificate of Waiver, Assisted living facility52D1068446
- Noble Community ClinicsCertificate of Waiver, Federally qualified health center52D0398011
- Silver Lake Manor Wautoma LLC CbrfCertificate of Waiver, Assisted living facility52D2004137
- Thedacare Physicians - Wautoma Hwy 22 NorthCertificate for Provider-Performed Microscopy Procedures, Physician office52D0397741
- Waushara County Emergency ServicesCertificate of Waiver, Ambulance52D0930739
- Waushara County HealthCertificate of Waiver, Public health laboratory52D0712972
- Wautoma Hometown Pharmacy LLCCertificate of Waiver, Pharmacy52D2196191
Related
Questions
What is the CLIA number for Waushara County Jail in Wautoma?
52D2264111, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waushara County Jail hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2264111 expire?
The CMS file lists July 10, 2028 as the certificate expiration date; the certificate took effect July 11, 2026.