CLIA lab
CLIA 52D2116583: Maple Run Cbrf
Fort Atkinson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2116583 belongs to Maple Run Cbrf in Fort Atkinson, WI.
Certificate of Waiver, effective August 17, 2025, expires August 16, 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
- August 17, 2025
- Certificate expiration
- August 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 28, 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
- 52D2116583
- Lab name
- Maple Run Cbrf
- Address
- N2489 Wenham Rd, Fort Atkinson, WI 53538
- Phone
- (920) 563-8554
- Fax
- (920) 563-8558
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Black Bear AfhCertificate of Waiver, Assisted living facility52D2274179
- Blue Raven AfhCertificate of Waiver, Assisted living facility52D2018977
- Cedar Hill CbrfCertificate of Waiver, Assisted living facility52D2311787
- Clover Lane AfhCertificate of Waiver, Assisted living facility52D2018976
- Crabapple Court CbrfCertificate of Waiver, Assisted living facility52D2107769
- Falcon's Nest CbrfCertificate of Waiver, Assisted living facility52D2018975
- Fort Atkinson DialysisCertificate of Waiver, End stage renal disease dialysis facility52D0988777
- Fort Atkinson FD Rescue SquadCertificate of Waiver, Ambulance52D2147494
Related
Questions
What is the CLIA number for Maple Run Cbrf in Fort Atkinson?
52D2116583, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Run Cbrf hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2116583 expire?
The CMS file lists August 16, 2027 as the certificate expiration date; the certificate took effect August 17, 2025.