CLIA lab
CLIA 52D2318894: Independent Physicians of Wisconsin, LLC
Hartland, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2318894 belongs to Independent Physicians of Wisconsin, LLC in Hartland, WI.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2025
- Facility type
- Physician office
- 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
- 52D2318894
- Lab name
- Independent Physicians of Wisconsin, LLC
- Address
- 625 Walnut Ridge Dr, Suite 101, Hartland, WI 53029
- Phone
- (262) 401-9007
- Fax
- (833) 973-5207
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hartland, WI
- Adava Care of HartlandCertificate of Waiver, Other52D2158021
- Aurora Health Center- HartlandCertificate of Waiver, Physician office52D2164429
- Avid at Home LLCCertificate of Waiver, Home health agency52D2285853
- Gallagher Family MedicineCertificate of Waiver, Physician office52D2153163
- Hartland Fire Dept/RescueCertificate of Waiver, Ambulance52D0992653
- Hartland PlaceCertificate of Waiver, Assisted living facility52D2153156
- Hartland Terrace II LLCCertificate of Waiver, Assisted living facility52D1011994
- Heritage 15, LLC DBA Heritage Lake CountryCertificate of Waiver, Assisted living facility52D2119582
- Mark Kamsler, MDCertificate of Waiver, Physician office52D2068168
- Ohca Cmco DornerCertificate of Waiver, Industrial52D2344664
Related
Questions
What is the CLIA number for Independent Physicians of Wisconsin, LLC in Hartland?
52D2318894, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Independent Physicians of Wisconsin, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2318894 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.