CLIA lab

CLIA 52D2312191: Uw Health Beaver Dam Pediatric Clinic

Beaver Dam, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2312191 belongs to Uw Health Beaver Dam Pediatric Clinic in Beaver Dam, WI.

Certificate of Waiver, effective October 7, 2026, expires October 6, 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
October 7, 2026
Certificate expiration
October 6, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 7, 2024
Facility type
Physician office
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2312191
Lab name
Uw Health Beaver Dam Pediatric Clinic
Address
109 Warren Street, Suite 4, Beaver Dam, WI 53916
Phone
(608) 263-7506
Fax
(608) 263-1568

Annual test volume the lab reported

Waived tests
300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Beaver Dam, WI

Related

Questions

What is the CLIA number for Uw Health Beaver Dam Pediatric Clinic in Beaver Dam?

52D2312191, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Uw Health Beaver Dam Pediatric Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2312191 expire?

The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.

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