CLIA lab
CLIA 52D0397454: Thedacare Physicians Internal Medicine
Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0397454 belongs to Thedacare Physicians Internal Medicine in Appleton, 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)
- Private
- 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
- 52D0397454
- Lab name
- Thedacare Physicians Internal Medicine
- Address
- 2500 E Capitol Dr, Appleton, WI 54911
- Phone
- (920) 731-5811
- Fax
- (920) 358-1185
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Appleton, WI
- AdventCertificate of Waiver, Physician office52D2195148
- Alexander Eye Institute, SCCertificate of Waiver, Physician office52D2020547
- Alexander Eye Surgery Center LLCCertificate of Waiver, Ambulatory surgery center52D2003566
- Anovia Health, SC - AppletonCertificate of Waiver, Community clinic52D2284976
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D1055036
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2002838
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2073791
- Apple ValleyCertificate of Waiver, Assisted living facility52D2196099
- Appleton Health DepartmentCertificate of Waiver, Public health laboratory52D0716824
- Appleton Retirement CommunityCertificate of Waiver, Assisted living facility52D0984547
Related
Questions
What is the CLIA number for Thedacare Physicians Internal Medicine in Appleton?
52D0397454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians Internal Medicine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0397454 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.