CLIA lab

CLIA 52D2018045: ST Coletta of Wisconsin

Jefferson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2018045 belongs to ST Coletta of Wisconsin in Jefferson, WI.

Certificate of Waiver, effective December 22, 2024, expires December 21, 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 22, 2024
Certificate expiration
December 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 2010
Facility type
Assisted living facility
Ownership (control type)
Religious affiliation
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
52D2018045
Lab name
ST Coletta of Wisconsin
Address
N4637 County Road Y, Jefferson, WI 53549
Phone
(920) 674-8270
Fax
(920) 674-4603

Annual test volume the lab reported

Waived tests
11,836

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Jefferson, WI

Related

Questions

What is the CLIA number for ST Coletta of Wisconsin in Jefferson?

52D2018045, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Coletta of Wisconsin hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2018045 expire?

The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.

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