CLIA lab
CLIA 52D2197738: Oak Grove Assisted Living, LLC
Necedah, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2197738 belongs to Oak Grove Assisted Living, LLC in Necedah, WI.
Certificate of Waiver, effective October 27, 2026, expires October 26, 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 27, 2026
- Certificate expiration
- October 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 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
- 52D2197738
- Lab name
- Oak Grove Assisted Living, LLC
- Address
- 200 W 6th Street, Necedah, WI 54646
- Phone
- (608) 565-3990
- Fax
- (608) 565-3203
Annual test volume the lab reported
- Waived tests
- 1
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Necedah, WI
Related
Questions
What is the CLIA number for Oak Grove Assisted Living, LLC in Necedah?
52D2197738, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oak Grove Assisted Living, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2197738 expire?
The CMS file lists October 26, 2028 as the certificate expiration date; the certificate took effect October 27, 2026.