CLIA lab

CLIA 52D2209912: Wolverton Glen

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

CLIA number 52D2209912 belongs to Wolverton Glen in Ripon, WI.

Certificate of Waiver, effective January 19, 2025, expires January 18, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 19, 2025
Certificate expiration
January 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 19, 2021
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
52D2209912
Lab name
Wolverton Glen
Address
50 Wolverton Ave, Ripon, WI 54971
Phone
(920) 745-1199
Fax
(920) 748-6427

Annual test volume the lab reported

Waived tests
30,000

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

Other labs in Ripon, WI

Related

Questions

What is the CLIA number for Wolverton Glen in Ripon?

52D2209912, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wolverton Glen hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2209912 expire?

The CMS file lists January 18, 2027 as the certificate expiration date; the certificate took effect January 19, 2025.

Try it on your own data today.

Free to start. Most teams are using it the same day.