CLIA lab
CLIA 52D2175791: Beaver Dam Al Operations MC, LLC
Beaver Dam, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2175791 belongs to Beaver Dam Al Operations MC, LLC in Beaver Dam, WI.
Certificate of Waiver, effective December 2, 2025, expires December 1, 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
- December 2, 2025
- Certificate expiration
- December 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 2, 2019
- 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
- 52D2175791
- Lab name
- Beaver Dam Al Operations MC, LLC
- Additional name
- DBA Charleston House MC
- Address
- 121 Evergreen Ln, Beaver Dam, WI 53916
- Phone
- (763) 670-9077
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Beaver Dam, WI
- Bdch Hillside Home Health Care/HospiceCertificate of Waiver, Hospice52D0684577
- Bdch Inc-Hillside ManorCertificate of Waiver, Skilled nursing or nursing facility52D0670224
- Beaver Dam Al Operations, LLCCertificate of Waiver, Assisted living facility52D2175793
- Beaver Dam CbocCertificate of Accreditation, Community clinic52D1016786
- Beaver Dam Fire DepartmentCertificate of Waiver, Ambulance52D0930689
- Beaver Dam Hometown PharmacyCertificate of Waiver, Pharmacy52D2124241
- Beaver Dam Medical ClinicsCertificate of Waiver, Physician office52D2003774
- Beaver Dam Reference LaboratoryCertificate of Accreditation, Independent52D0662012
- Beaver Dam Senior LivingCertificate of Waiver, Assisted living facility52D2194341
- Beaver Dam Unified School DistrictCertificate of Waiver, School or student health service52D2316764
Related
Questions
What is the CLIA number for Beaver Dam Al Operations MC, LLC in Beaver Dam?
52D2175791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beaver Dam Al Operations MC, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2175791 expire?
The CMS file lists December 1, 2027 as the certificate expiration date; the certificate took effect December 2, 2025.