CLIA lab
CLIA 52D2174022: Jonathan Delagrave
Racine, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2174022 belongs to Jonathan Delagrave in Racine, WI.
Certificate of Waiver, effective October 23, 2025, expires October 22, 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
- October 23, 2025
- Certificate expiration
- October 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 23, 2019
- Facility type
- Other
- Ownership (control type)
- Government, county
- 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
- 52D2174022
- Lab name
- Jonathan Delagrave
- Additional name
- Youth Development and Care Center
- Address
- 2300 3 Mile Rd, Racine, WI 53404
- Phone
- (262) 638-6397
- Fax
- (262) 638-6366
Annual test volume the lab reported
- Waived tests
- 1,092
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Racine, WI
- Ahc Ambulatory Surgery Center RacineCertificate of Waiver, Ambulatory surgery center52D0983851
- Alpha Homes of Wi, IncCertificate of Waiver, Other52D2123481
- Alpha Homes of Wi, Inc DurandCertificate of Waiver, Other52D2314228
- Ascension All Saints - NorthsideCertificate of Waiver, Physician office52D2176779
- Ascension All Saints HospitalCertificate of Accreditation, Hospital52D0392486
- Ascension Living- Lakeshore at Siena, IncCertificate of Waiver, Skilled nursing or nursing facility52D2149039
- Ascension Wisconsin Employer SolutionsCertificate of Waiver, Other52D2125342
- Aurora Health Care CaledoniaCertificate of Waiver, Physician office52D2045504
- Aurora Health Care Metro Inc - RacineCertificate of Compliance, Other52D0976606
- Aurora Health CenterCertificate of Waiver, Physician office52D2045502
Related
Questions
What is the CLIA number for Jonathan Delagrave in Racine?
52D2174022, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jonathan Delagrave hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2174022 expire?
The CMS file lists October 22, 2027 as the certificate expiration date; the certificate took effect October 23, 2025.