CLIA lab
CLIA 52D1044909: Blackwell Job Corps
Laona, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1044909 belongs to Blackwell Job Corps in Laona, WI.
Certificate of Waiver, effective August 31, 2025, expires August 30, 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
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 31, 2005
- Facility type
- Federally qualified health center
- Ownership (control type)
- Government, federal
- 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
- 52D1044909
- Lab name
- Blackwell Job Corps
- Additional name
- Civilian Conservation Hlth & Wellness Dept
- Address
- 4155 Cty Hwy H, Laona, WI 54541
- Phone
- (715) 674-2311
Annual test volume the lab reported
- Waived tests
- 600
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 Blackwell Job Corps in Laona?
52D1044909, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blackwell Job Corps hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1044909 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.