CLIA lab
CLIA 52D2274179: Black Bear Afh
Fort Atkinson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2274179 belongs to Black Bear Afh in Fort Atkinson, WI.
Certificate of Waiver, effective December 28, 2024, expires December 27, 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 28, 2024
- Certificate expiration
- December 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2022
- 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
- 52D2274179
- Lab name
- Black Bear Afh
- Address
- 222 W Blackhawk Drive, Fort Atkinson, WI 53538
- Phone
- (920) 563-8554
- Fax
- (920) 563-8558
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Atkinson, WI
- Aspen Place AfhCertificate of Waiver, Assisted living facility52D2018983
- Birch Terrace CbrfCertificate of Waiver, Assisted living facility52D2018982
- Blue Raven AfhCertificate of Waiver, Assisted living facility52D2018977
- Cedar Hill CbrfCertificate of Waiver, Assisted living facility52D2311787
- Clover Lane AfhCertificate of Waiver, Assisted living facility52D2018976
- Crabapple Court CbrfCertificate of Waiver, Assisted living facility52D2107769
- Falcon's Nest CbrfCertificate of Waiver, Assisted living facility52D2018975
- Fort Atkinson DialysisCertificate of Waiver, End stage renal disease dialysis facility52D0988777
- Fort Atkinson FD Rescue SquadCertificate of Waiver, Ambulance52D2147494
- Fort HealthcareCertificate of Waiver, Other52D2261039
Related
Questions
What is the CLIA number for Black Bear Afh in Fort Atkinson?
52D2274179, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Bear Afh hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2274179 expire?
The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.