CLIA lab

CLIA 52D0397459: Kagen Dermatology Clinic SC

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

CLIA number 52D0397459 belongs to Kagen Dermatology Clinic SC in Appleton, WI.

Certificate for Provider-Performed Microscopy Procedures, effective February 11, 2026, expires February 10, 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 for Provider-Performed Microscopy Procedures
Certificate effective
February 11, 2026
Certificate expiration
February 10, 2028
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
52D0397459
Lab name
Kagen Dermatology Clinic SC
Address
100 W Lawrence St Ste 409, Appleton, WI 54911
Phone
(920) 733-5138
Fax
(920) 733-3759

Annual test volume the lab reported

Waived tests
50
Provider-performed microscopy tests
43
Total
93

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

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Related

Questions

What is the CLIA number for Kagen Dermatology Clinic SC in Appleton?

52D0397459, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kagen Dermatology Clinic SC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 52D0397459 expire?

The CMS file lists February 10, 2028 as the certificate expiration date; the certificate took effect February 11, 2026.

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