CLIA lab
CLIA 52D0394473: Ascension Medical Group- Fox Valley Wisconsin Inc
Little Chute, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0394473 belongs to Ascension Medical Group- Fox Valley Wisconsin Inc in Little Chute, WI.
Certificate of Waiver, effective October 22, 2025, expires October 21, 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 Waiver
- Certificate effective
- October 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0394473
- Lab name
- Ascension Medical Group- Fox Valley Wisconsin Inc
- Additional name
- D/B/A Ascension Medical Group
- Address
- 200 Patriot Dr, Little Chute, WI 54140
- Phone
- (920) 687-2830
- Fax
- (920) 687-2833
Annual test volume the lab reported
- Waived tests
- 2,901
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Little Chute, WI
- Community Blood Center, IncCertificate of Waiver, Blood bank52D0868198
- Countryvilla Senior AptsCertificate of Waiver, Assisted living facility52D2230919
- Little Chute Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0394476
- Little Chute School District/Certificate of Waiver, Other52D2157185
- Smith PharmacyCertificate of Waiver, Pharmacy52D2183098
- Walgreens #09682Certificate of Waiver, Pharmacy52D2218405
Related
Questions
What is the CLIA number for Ascension Medical Group- Fox Valley Wisconsin Inc in Little Chute?
52D0394473, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ascension Medical Group- Fox Valley Wisconsin Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0394473 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.