CLIA lab
CLIA 52D2338053: Rock River Community Clinic, Inc
Johnson Creek, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2338053 belongs to Rock River Community Clinic, Inc in Johnson Creek, WI.
Certificate of Waiver, effective February 4, 2026, expires February 3, 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
- February 4, 2026
- Certificate expiration
- February 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2026
- Facility type
- Community clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2338053
- Lab name
- Rock River Community Clinic, Inc
- Address
- 400 Doctors Cour, Suite B, Johnson Creek, WI 53038
- Phone
- (262) 472-6839
- Fax
- (262) 472-6825
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Johnson Creek, WI
- Johnson Creek ASC, LLCCertificate of Waiver, Ambulatory surgery center52D2349441
- Johnson Creek EMSCertificate of Waiver, Ambulance52D0912442
- Orthopaedic Associates of WisconsinCertificate of Waiver, Physician office52D2350119
- Three Oaks HealthCertificate for Provider-Performed Microscopy Procedures, Physician office52D2123975
- Uw Cancer Center Johnson CreekCertificate of Accreditation, Ancillary test site52D2283822
- Watertown Regional Medical CenterCertificate of Waiver, Other52D0951451
Related
Questions
What is the CLIA number for Rock River Community Clinic, Inc in Johnson Creek?
52D2338053, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rock River Community Clinic, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2338053 expire?
The CMS file lists February 3, 2028 as the certificate expiration date; the certificate took effect February 4, 2026.