CLIA lab
CLIA 52D2196409: Brillion West Haven
Brillion, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2196409 belongs to Brillion West Haven in Brillion, WI.
Certificate of Waiver, effective October 16, 2024, expiration date October 15, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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 16, 2024
- Certificate expiration
- October 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 16, 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
- 52D2196409
- Lab name
- Brillion West Haven
- Address
- 220 Achievement Drive, Brillion, WI 54110
- Phone
- (920) 756-9100
- Fax
- (920) 756-9103
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Brillion West Haven in Brillion?
52D2196409, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brillion West Haven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2196409 expire?
The CMS file lists October 15, 2026 as the certificate expiration date; the certificate took effect October 16, 2024.