CLIA lab
CLIA 52D2002304: Sycamore Lodge Senior Living
Kiel, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2002304 belongs to Sycamore Lodge Senior Living in Kiel, WI.
Certificate of Waiver, effective October 24, 2024, expiration date October 23, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 24, 2024
- Certificate expiration
- October 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 2010
- 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
- 52D2002304
- Lab name
- Sycamore Lodge Senior Living
- Address
- 1237 Teckla Pl, Kiel, WI 53042
- Phone
- (920) 901-2840
- Fax
- (920) 894-1600
Annual test volume the lab reported
- Waived tests
- 3,504
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Kiel, WI
- Ascension Medical Group- Fox Valley Wisconsin IncCertificate of Waiver, Physician office52D0388433
- Aurora Sheboygan Clinic KielCertificate for Provider-Performed Microscopy Procedures, Physician office52D0388432
- Field of Dreams Assisted LivingCertificate of Waiver, Assisted living facility52D2157036
- Kiel Ambulance ServiceCertificate of Waiver, Ambulance52D0911839
- Sargento Health & Wellness CenterCertificate of Waiver, Other52D2139039
Related
Questions
What is the CLIA number for Sycamore Lodge Senior Living in Kiel?
52D2002304, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sycamore Lodge Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2002304 expire?
The CMS file lists October 23, 2026 as the certificate expiration date; the certificate took effect October 24, 2024.