CLIA lab
CLIA 52D0983938: Evergreen Terrace LLC
Antigo, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0983938 belongs to Evergreen Terrace LLC in Antigo, WI.
Certificate of Waiver, effective March 9, 2025, expires March 8, 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
- March 9, 2025
- Certificate expiration
- March 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 9, 2001
- Facility type
- Assisted living facility
- 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
- 52D0983938
- Lab name
- Evergreen Terrace LLC
- Address
- 715 Ackley St, Antigo, WI 54409
- Phone
- (715) 623-0423
- Fax
- (715) 623-0421
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Antigo, WI
- Anovia Health, SC - AntigoCertificate of Waiver, Community clinic52D2271263
- Antigo Medical BuildingCertificate of Waiver, Rural health clinic52D0395366
- Aspirus Langlade HospitalCertificate of Accreditation, Hospital52D0395375
- Aspirus Langlade Rosalia GardensCertificate of Waiver, Assisted living facility52D2197828
- Bay at Garden View Assisted Living Center, theCertificate of Waiver, Assisted living facility52D2194337
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1017942
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1087760
- City of Antigo Fire DepartmentCertificate of Waiver, Ambulance52D0985967
- Eastview Medical and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility52D0395370
- Langlade County Health DeptCertificate of Waiver, Public health laboratory52D0395374
Related
Questions
What is the CLIA number for Evergreen Terrace LLC in Antigo?
52D0983938, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Terrace LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0983938 expire?
The CMS file lists March 8, 2027 as the certificate expiration date; the certificate took effect March 9, 2025.