CLIA lab

CLIA 52D2123970: Autumn Creek II CQS, LLC

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

CLIA number 52D2123970 belongs to Autumn Creek II CQS, LLC in Oak Creek, WI.

Certificate of Waiver, effective January 6, 2025, expires January 5, 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 6, 2025
Certificate expiration
January 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2017
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
52D2123970
Lab name
Autumn Creek II CQS, LLC
Address
1326 W Willow Drive, Oak Creek, WI 53154
Phone
(414) 304-5284
Fax
(414) 304-5894

Annual test volume the lab reported

Waived tests
360

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

Affiliated CLIA numbers

Other labs in Oak Creek, WI

Related

Questions

What is the CLIA number for Autumn Creek II CQS, LLC in Oak Creek?

52D2123970, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Autumn Creek II CQS, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2123970 expire?

The CMS file lists January 5, 2027 as the certificate expiration date; the certificate took effect January 6, 2025.

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