CLIA lab

CLIA 52D0397569: Ascension Medical Group- Fox Valley Wisconsin Inc

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

CLIA number 52D0397569 belongs to Ascension Medical Group- Fox Valley Wisconsin Inc in Appleton, WI.

Certificate of Waiver, effective November 8, 2025, expires November 7, 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
November 8, 2025
Certificate expiration
November 7, 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
Directly affiliated labs
5

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D0397569
Lab name
Ascension Medical Group- Fox Valley Wisconsin Inc
Additional name
D/B/A Ascension Medical Group
Address
1501 S Madison St, Appleton, WI 54915
Phone
(920) 730-5354
Fax
(920) 730-4416

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.

Affiliated CLIA numbers

Other labs in Appleton, WI

Related

Questions

What is the CLIA number for Ascension Medical Group- Fox Valley Wisconsin Inc in Appleton?

52D0397569, 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 52D0397569 expire?

The CMS file lists November 7, 2027 as the certificate expiration date; the certificate took effect November 8, 2025.

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