CLIA lab

CLIA 52D0394447: Kaukauna Clinic SC

Kaukauna, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0394447 belongs to Kaukauna Clinic SC in Kaukauna, WI.

Certificate of Compliance, effective October 21, 2025, expires October 20, 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 Compliance
Certificate effective
October 21, 2025
Certificate expiration
October 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
52D0394447
Lab name
Kaukauna Clinic SC
Address
305 E 12th St, Kaukauna, WI 54130
Phone
(920) 766-4656
Fax
(920) 766-4659

Annual test volume the lab reported

Waived tests
2,591
Other nonwaived tests
136,382
Total
138,973

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kaukauna, WI

Related

Questions

What is the CLIA number for Kaukauna Clinic SC in Kaukauna?

52D0394447, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kaukauna Clinic SC hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 52D0394447 expire?

The CMS file lists October 20, 2027 as the certificate expiration date; the certificate took effect October 21, 2025.

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