CLIA lab
CLIA 52D2017904: Sycamore Lodge Senior Living
Luxemburg, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2017904 belongs to Sycamore Lodge Senior Living in Luxemburg, WI.
Certificate of Waiver, effective December 21, 2024, expires December 20, 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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 52D2017904
- Lab name
- Sycamore Lodge Senior Living
- Address
- 409 3rd St, Luxemburg, WI 54217
- Phone
- (920) 845-5835
- Fax
- (920) 845-9819
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Luxemburg, WI
- Bellin Health FMC LuxemburgCertificate of Waiver, Physician office52D1048462
- Infinity Care IncCertificate of Waiver, Assisted living facility52D2046231
- Luxemburg Clinic A Prevea Health CenterCertificate of Accreditation, Physician office52D0394662
- Luxemburg Pharmacy, LLCCertificate of Waiver, Pharmacy52D2211687
- Luxemburg Rescue Squad IncCertificate of Waiver, Ambulance52D0858312
Related
Questions
What is the CLIA number for Sycamore Lodge Senior Living in Luxemburg?
52D2017904, 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 52D2017904 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.