CLIA lab
CLIA 52D0392917: Alden Estates of Countryside, Inc
Jefferson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0392917 belongs to Alden Estates of Countryside, Inc in Jefferson, 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
- December 29, 1992
- Facility type
- Skilled nursing or nursing facility
- 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
- 52D0392917
- Lab name
- Alden Estates of Countryside, Inc
- Address
- 1130 Collins Rd, Jefferson, WI 53549
- Phone
- (920) 674-3170
- Fax
- (920) 674-6075
Annual test volume the lab reported
- Waived tests
- 25,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Alden Estates of Countryside, IncCMS Care Compare ratings for the facility at the same street address
Other labs in Jefferson, WI
- Dimensions Living of JeffersonCertificate of Waiver, Assisted living facility52D1053066
- Fort Healthcare JeffersonCertificate for Provider-Performed Microscopy Procedures, Physician office52D0392916
- Jefferson County Health Department and WicCertificate of Waiver, Public health laboratory52D0392920
- Jefferson County JailCertificate of Waiver, Other52D2208546
- Jefferson EMSCertificate of Waiver, Ambulance52D0989084
- Jefferson Memory CareCertificate of Waiver, Assisted living facility52D2116154
- Mueller Drugs, IncCertificate of Waiver, Pharmacy52D2185523
- Rainbow Hospice Care IncCertificate of Waiver, Hospice52D0922533
- ST Coletta of WisconsinCertificate of Waiver, Assisted living facility52D2018045
- Unify Health ServicesCertificate of Waiver, Industrial52D2178877
Related
Questions
What is the CLIA number for Alden Estates of Countryside, Inc in Jefferson?
52D0392917, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alden Estates of Countryside, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0392917 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.