CLIA lab

CLIA 52D2077857: Sycamore Lodge Senior Living

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

CLIA number 52D2077857 belongs to Sycamore Lodge Senior Living in Algoma, WI.

Certificate of Waiver, effective May 15, 2026, expires May 14, 2028.

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
May 15, 2026
Certificate expiration
May 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 15, 2014
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
52D2077857
Lab name
Sycamore Lodge Senior Living
Address
1505 Washington St, Algoma, WI 54201
Phone
(920) 487-8152
Fax
(920) 487-8153

Annual test volume the lab reported

Waived tests
2,500

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

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Related

Questions

What is the CLIA number for Sycamore Lodge Senior Living in Algoma?

52D2077857, 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 52D2077857 expire?

The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.

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