CLIA lab
CLIA 52D2330104: Wisconsin Spine and Pain- Mequon
Mequon, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2330104 belongs to Wisconsin Spine and Pain- Mequon in Mequon, WI.
Certificate of Waiver, effective September 10, 2025, expires September 9, 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
- September 10, 2025
- Certificate expiration
- September 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 10, 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
- 52D2330104
- Lab name
- Wisconsin Spine and Pain- Mequon
- Address
- 1249 W Liebau Road Suite 200, Mequon, WI 53092
- Phone
- (920) 838-6426
- Fax
- (888) 720-0495
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mequon, WI
- AdventCertificate of Waiver, Physician office52D2184785
- Advocateaurora Health Center - East MequonCertificate of Waiver, Physician office52D2136322
- American Behavioral Clinics, SCCertificate of Waiver, Other52D2044095
- Ascension Columbia ST Mary's Hospital OzaukeeCertificate of Accreditation, Hospital52D0388660
- Ascension Columbia ST Mary's Hospital Ozaukee PocCertificate of Accreditation, Ancillary test site52D0890685
- Ascension Medical Group - MequonCertificate of Waiver, Physician office52D2252969
- Ascension Sacred Heart Rehabilitation HospitalCertificate of Waiver, Hospital52D0904432
- Ascension Seton Professional Building ObstetricsCertificate of Waiver, Physician office52D0886058
- Aurora East Mequon ClinicCertificate of Waiver, Physician office52D2256056
- Aurora Health Center - East MequonCertificate for Provider-Performed Microscopy Procedures, Physician office52D2210375
Related
Questions
What is the CLIA number for Wisconsin Spine and Pain- Mequon in Mequon?
52D2330104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wisconsin Spine and Pain- Mequon hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2330104 expire?
The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.