CLIA lab
CLIA 52D2174445: Leidos QTC Health Services Ixonia
Ixonia, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2174445 belongs to Leidos QTC Health Services Ixonia in Ixonia, WI.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2019
- Facility type
- Other
- 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
- 52D2174445
- Lab name
- Leidos QTC Health Services Ixonia
- Address
- W1046 Marietta Ave, Suite 220, Ixonia, WI 53036
- Phone
- (920) 545-0977
- Fax
- (949) 705-3600
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.
Other labs in Ixonia, WI
Related
Questions
What is the CLIA number for Leidos QTC Health Services Ixonia in Ixonia?
52D2174445, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Leidos QTC Health Services Ixonia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2174445 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.