CLIA lab
CLIA 52D2073791: Apple Creek Place
Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2073791 belongs to Apple Creek Place in Appleton, WI.
Certificate of Waiver, effective November 19, 2024, expires November 18, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 19, 2024
- Certificate expiration
- November 18, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2014
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2073791
- Lab name
- Apple Creek Place
- Address
- 5118 N Cherryvale Ave, Appleton, WI 54913
- Phone
- (920) 735-6166
- Fax
- (920) 997-8142
Annual test volume the lab reported
- Waived tests
- 17,720
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Appleton, WI
- AdventCertificate of Waiver, Physician office52D2195148
- Alexander Eye Institute, SCCertificate of Waiver, Physician office52D2020547
- Alexander Eye Surgery Center LLCCertificate of Waiver, Ambulatory surgery center52D2003566
- Anovia Health, SC - AppletonCertificate of Waiver, Community clinic52D2284976
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D1055036
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2002838
- Apple ValleyCertificate of Waiver, Assisted living facility52D2196099
- Appleton Health DepartmentCertificate of Waiver, Public health laboratory52D0716824
- Appleton Retirement CommunityCertificate of Waiver, Assisted living facility52D0984547
- Appleton Retirement, LLCCertificate of Waiver, Assisted living facility52D2151040
Related
Questions
What is the CLIA number for Apple Creek Place in Appleton?
52D2073791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Apple Creek Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2073791 expire?
The CMS file lists November 18, 2026 as the certificate expiration date; the certificate took effect November 19, 2024.