CLIA lab
CLIA 52D0704796: Thedacare Physicians-Appleton West
Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0704796 belongs to Thedacare Physicians-Appleton West in Appleton, WI.
Certificate of Waiver, effective May 4, 2026, expires May 3, 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
- May 4, 2026
- Certificate expiration
- May 3, 2028
- 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
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0704796
- Lab name
- Thedacare Physicians-Appleton West
- Address
- 4480 W Spencer St, Appleton, WI 54914
- Phone
- (920) 738-3174
- Fax
- (920) 358-1577
Annual test volume the lab reported
- Waived tests
- 997
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-Appleton West in Appleton?
52D0704796, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians-Appleton West hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0704796 expire?
The CMS file lists May 3, 2028 as the certificate expiration date; the certificate took effect May 4, 2026.