CLIA lab
CLIA 52D0039069: Rocky Knoll Health Care Facility
Plymouth, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0039069 belongs to Rocky Knoll Health Care Facility in Plymouth, WI.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 19, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 52D0039069
- Lab name
- Rocky Knoll Health Care Facility
- Address
- N7135 Rocky Knoll Parkway, Plymouth, WI 53073
- Phone
- (920) 893-6441
- Fax
- (855) 716-7528
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Plymouth, WI
- Advanced EyecareCertificate of Waiver, Physician office52D2249172
- Ahc Plymouth ClinicCertificate of Waiver, Physician office52D2030969
- Anovia Health PlymouthCertificate of Waiver, Community clinic52D2349148
- Plymouth Clinic LabCertificate of Waiver, Physician office52D2316375
- Plymouth Fire Dept Ambulance SquadCertificate of Waiver, Ambulance52D0989948
- Plymouth Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D1031655
- Plymouth School DistrictCertificate of Waiver, School or student health service52D2226809
- Prevea Health- Lakeland UniversityCertificate of Waiver, School or student health service52D2190573
- Prevea Plymouth Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office52D2007277
- Sargento Health & Wellness CenterCertificate of Waiver, Other52D2139048
Related
Questions
What is the CLIA number for Rocky Knoll Health Care Facility in Plymouth?
52D0039069, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rocky Knoll Health Care Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0039069 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.