CLIA lab
CLIA 52D2230919: Countryvilla Senior Apts
Little Chute, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2230919 belongs to Countryvilla Senior Apts in Little Chute, WI.
Certificate of Waiver, effective July 29, 2025, expires July 28, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 29, 2025
- Certificate expiration
- July 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 29, 2021
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2230919
- Lab name
- Countryvilla Senior Apts
- Address
- 1415 W Main Street, Little Chute, WI 54911
- Phone
- (920) 788-3444
- Fax
- (920) 415-6874
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Little Chute, WI
- Ascension Medical Group- Fox Valley Wisconsin IncCertificate of Waiver, Physician office52D0394473
- Community Blood Center, IncCertificate of Waiver, Blood bank52D0868198
- Little Chute Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0394476
- Little Chute School District/Certificate of Waiver, Other52D2157185
- Smith PharmacyCertificate of Waiver, Pharmacy52D2183098
- Walgreens #09682Certificate of Waiver, Pharmacy52D2218405
Related
Questions
What is the CLIA number for Countryvilla Senior Apts in Little Chute?
52D2230919, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Countryvilla Senior Apts hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2230919 expire?
The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.