CLIA lab
CLIA 52D2032758: Kelly House
Evansville, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2032758 belongs to Kelly House in Evansville, WI.
Certificate of Waiver, effective November 15, 2025, expires November 14, 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
- November 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2011
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 52D2032758
- Lab name
- Kelly House
- Address
- 121 S Fifth St, Evansville, WI 53536
- Phone
- (608) 882-4191
- Fax
- (608) 882-6149
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Evansville, WI
- Evansville EMSCertificate of Waiver, Ambulance52D2173003
- Evansville Hometown PharmacyCertificate of Waiver, Pharmacy52D2209086
- Evansville ManorCertificate of Waiver, Skilled nursing or nursing facility52D0882881
- Heights Assisted Living, theCertificate of Waiver, Assisted living facility52D2209907
- Mercyhealth EvansvilleCertificate of Waiver, Physician office52D0683329
- SSM Health Dean Medical Group - EvansvilleCertificate of Waiver, Physician office52D0663335
- Stoughton Trailers - Marathon Health EvansvilleCertificate of Waiver, Other52D2267938
Related
Questions
What is the CLIA number for Kelly House in Evansville?
52D2032758, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kelly House hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2032758 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.