CLIA lab

CLIA 52D2196099: Apple Valley

Appleton, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2196099 belongs to Apple Valley in Appleton, WI.

Certificate of Waiver, effective October 14, 2026, expires October 13, 2028.

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 14, 2026
Certificate expiration
October 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2020
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
52D2196099
Lab name
Apple Valley
Address
2214 Russet Court, Appleton, WI 54914
Phone
(715) 832-5085
Fax
(715) 514-5725

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Appleton, WI

Related

Questions

What is the CLIA number for Apple Valley in Appleton?

52D2196099, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Apple Valley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2196099 expire?

The CMS file lists October 13, 2028 as the certificate expiration date; the certificate took effect October 14, 2026.

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