CLIA lab

CLIA 52D2100468: Eden Vista Greendale North

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

CLIA number 52D2100468 belongs to Eden Vista Greendale North in Greendale, WI.

Certificate of Waiver, effective January 9, 2025, expires January 8, 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
January 9, 2025
Certificate expiration
January 8, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 14, 2015
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2100468
Lab name
Eden Vista Greendale North
Address
6801 W Loomis Rd, Greendale, WI 53129
Phone
(414) 858-0700
Fax
(414) 425-6533

Annual test volume the lab reported

Waived tests
2,000

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

Affiliated CLIA numbers

Other labs in Greendale, WI

Related

Questions

What is the CLIA number for Eden Vista Greendale North in Greendale?

52D2100468, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eden Vista Greendale North hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2100468 expire?

The CMS file lists January 8, 2027 as the certificate expiration date; the certificate took effect January 9, 2025.

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