CLIA lab

CLIA 52D1074072: 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 52D1074072 belongs to Ascension Medical Group- Fox Valley Wisconsin Inc in Appleton, WI.

Certificate of Waiver, effective September 21, 2025, expires September 20, 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
September 21, 2025
Certificate expiration
September 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 21, 2007
Facility type
Physician office
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory
Directly affiliated labs
1

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

Lab and contact

CLIA number
52D1074072
Lab name
Ascension Medical Group- Fox Valley Wisconsin Inc
Additional name
D/B/A Ascension Medical Group
Address
1506 S Oneida St, 5th Flr - Pediatrics, Appleton, WI 54915
Phone
(920) 730-4950
Fax
(920) 730-5316

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?

52D1074072, 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 52D1074072 expire?

The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.

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