CLIA lab
CLIA 52D0394453: ST Paul Elder Services Inc
Kaukauna, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0394453 belongs to ST Paul Elder Services Inc in Kaukauna, 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 4, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 52D0394453
- Lab name
- ST Paul Elder Services Inc
- Address
- 316 E 14th St, Kaukauna, WI 54130
- Phone
- (920) 766-6020
- Fax
- (920) 766-9161
Annual test volume the lab reported
- Waived tests
- 6,032
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- St Paul Elder Services, IncCMS Care Compare ratings for the facility at the same street address
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- Ascension Medical Group- Fox Valley Wisconsin IncCertificate of Waiver, Physician office52D0692762
- Aurora Baycare UrologyCertificate of Waiver, Physician office52D2188136
- Aurora Health Care- Kaukauna ASCCertificate of Waiver, Ambulatory surgery center52D2192000
- Aurora Health Center- KaukaunaCertificate of Waiver, Hospital52D2187262
- City of Kaukauna Fire Dept Ambulance SVCCertificate of Waiver, Ambulance52D0930700
- FMC Dialysis Services of KaukaunaCertificate of Waiver, End stage renal disease dialysis facility52D0996921
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2268851
Related
Questions
What is the CLIA number for ST Paul Elder Services Inc in Kaukauna?
52D0394453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Paul Elder Services Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0394453 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.