CLIA lab
CLIA 52D1091330: Bella Vista Rcac & Cbrf SL Hazel Oshkosh LLC
Oshkosh, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1091330 belongs to Bella Vista Rcac & Cbrf SL Hazel Oshkosh LLC in Oshkosh, WI.
Certificate of Waiver, effective October 30, 2024, expires October 29, 2026.
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
- October 30, 2024
- Certificate expiration
- October 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2008
- 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
- 52D1091330
- Lab name
- Bella Vista Rcac & Cbrf SL Hazel Oshkosh LLC
- Address
- 631 Hazel St, Oshkosh, WI 54901
- Phone
- (920) 233-6667
- Fax
- (920) 233-6664
Annual test volume the lab reported
- Waived tests
- 500
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 Bella Vista Rcac & Cbrf SL Hazel Oshkosh LLC in Oshkosh?
52D1091330, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bella Vista Rcac & Cbrf SL Hazel Oshkosh LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1091330 expire?
The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.