CLIA lab

CLIA 52D2206718: Hamilton Park Place Assisted Living Facility

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

CLIA number 52D2206718 belongs to Hamilton Park Place Assisted Living Facility in Portage, WI.

Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.

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 22, 2024
Certificate expiration
December 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 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
52D2206718
Lab name
Hamilton Park Place Assisted Living Facility
Address
2525 Hamilton St, Portage, WI 53901
Phone
(920) 207-3550
Fax
(920) 994-8466

Annual test volume the lab reported

Waived tests
150

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 Hamilton Park Place Assisted Living Facility in Portage?

52D2206718, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Hamilton Park Place Assisted Living Facility hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2206718 expire?

The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.

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