CLIA lab
CLIA 52D2129219: Dixon Ticonderoga
Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2129219 belongs to Dixon Ticonderoga in Appleton, WI.
Certificate of Waiver, effective April 17, 2025, expires April 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
- April 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2017
- Facility type
- Industrial
- Ownership (control type)
- Private
- 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
- 52D2129219
- Lab name
- Dixon Ticonderoga
- Address
- 2525 North Casaloma Drive, Appleton, WI 54913
- Phone
- (800) 333-2545
- Fax
- (920) 380-4989
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Alexander Eye Institute, SCCertificate of Waiver, Physician office52D2020547
- Alexander Eye Surgery Center LLCCertificate of Waiver, Ambulatory surgery center52D2003566
- Anovia Health, SC - AppletonCertificate of Waiver, Community clinic52D2284976
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D1055036
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2002838
- Apple Creek PlaceCertificate of Waiver, Assisted living facility52D2073791
- Apple ValleyCertificate of Waiver, Assisted living facility52D2196099
- Appleton Health DepartmentCertificate of Waiver, Public health laboratory52D0716824
- Appleton Retirement CommunityCertificate of Waiver, Assisted living facility52D0984547
Related
Questions
What is the CLIA number for Dixon Ticonderoga in Appleton?
52D2129219, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dixon Ticonderoga hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2129219 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.