CLIA lab
CLIA 52D2124114: Woods of Caledonia,the
Caledonia, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2124114 belongs to Woods of Caledonia,the in Caledonia, WI.
Certificate of Waiver, effective January 10, 2025, expires January 9, 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 10, 2025
- Certificate expiration
- January 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 2017
- 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
- 52D2124114
- Lab name
- Woods of Caledonia,the
- Address
- 5737 Erie Street, Caledonia, WI 53402
- Phone
- (262) 639-6015
- Fax
- (262) 639-5279
Annual test volume the lab reported
- Waived tests
- 12,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Caledonia, WI
Related
Questions
What is the CLIA number for Woods of Caledonia,the in Caledonia?
52D2124114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Woods of Caledonia,the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2124114 expire?
The CMS file lists January 9, 2027 as the certificate expiration date; the certificate took effect January 10, 2025.