CLIA lab
CLIA 52D2116154: Jefferson Memory Care
Jefferson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2116154 belongs to Jefferson Memory Care in Jefferson, WI.
Certificate of Waiver, effective July 20, 2026, expires July 19, 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
- July 20, 2026
- Certificate expiration
- July 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 20, 2016
- 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
- 52D2116154
- Lab name
- Jefferson Memory Care
- Address
- 414 Cty Hwy Y, Jefferson, WI 53549
- Phone
- (920) 541-3520
- Fax
- (920) 541-3524
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jefferson, WI
- Alden Estates of Countryside, IncCertificate of Waiver, Skilled nursing or nursing facility52D0392917
- Dimensions Living of JeffersonCertificate of Waiver, Assisted living facility52D1053066
- Fort Healthcare JeffersonCertificate for Provider-Performed Microscopy Procedures, Physician office52D0392916
- Jefferson County Health Department and WicCertificate of Waiver, Public health laboratory52D0392920
- Jefferson County JailCertificate of Waiver, Other52D2208546
- Jefferson EMSCertificate of Waiver, Ambulance52D0989084
- Mueller Drugs, IncCertificate of Waiver, Pharmacy52D2185523
- Rainbow Hospice Care IncCertificate of Waiver, Hospice52D0922533
- ST Coletta of WisconsinCertificate of Waiver, Assisted living facility52D2018045
- Unify Health ServicesCertificate of Waiver, Industrial52D2178877
Related
Questions
What is the CLIA number for Jefferson Memory Care in Jefferson?
52D2116154, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jefferson Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2116154 expire?
The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.