CLIA lab
CLIA 52D2279472: Wisconsin CVS Pharmacy, LLC
Superior, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2279472 belongs to Wisconsin CVS Pharmacy, LLC in Superior, WI.
Certificate of Waiver, effective April 3, 2025, expires April 2, 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
- April 3, 2025
- Certificate expiration
- April 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 3, 2023
- Facility type
- Pharmacy
- 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
- 52D2279472
- Lab name
- Wisconsin CVS Pharmacy, LLC
- Additional name
- DBA Cvs/Pharmacy #07261
- Address
- 2631 Tower Ave, Superior, WI 54880
- Phone
- (715) 392-0487
- Fax
- (401) 216-0351
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Superior, WI
- Aspirus ST Luke's Superior ClinicCertificate of Waiver, Physician office52D0397185
- Challenge Center, IncCertificate of Waiver, Assisted living facility52D0982182
- Douglas County Dept of HHS,Certificate of Waiver, Public health laboratory52D0662131
- Douglas County JailCertificate of Waiver, Other52D2261691
- Dove Healthcare - SuperiorCertificate of Waiver, Skilled nursing or nursing facility52D0670673
- Essentia Health ST Mary's - Superior ClinicCertificate of Waiver, Ancillary test site52D0983026
- Health Care Clinic IncCertificate for Provider-Performed Microscopy Procedures, Community clinic52D0396953
- Lake Superior Community Health Center - SuperiorCertificate of Accreditation, Federally qualified health center52D2249300
- New Perspective - Twin PortsCertificate of Waiver, Assisted living facility52D2025637
- Northwest Wi Community Services AgencyCertificate of Waiver, Other52D2007084
Related
Questions
What is the CLIA number for Wisconsin CVS Pharmacy, LLC in Superior?
52D2279472, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wisconsin CVS Pharmacy, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2279472 expire?
The CMS file lists April 2, 2027 as the certificate expiration date; the certificate took effect April 3, 2025.