CLIA lab
CLIA 52D2286563: Golden Years of Randolph
Randolph, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2286563 belongs to Golden Years of Randolph in Randolph, WI.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 1, 2023
- 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
- 52D2286563
- Lab name
- Golden Years of Randolph
- Address
- 131 Ellis Ave, Randolph, WI 53956
- Phone
- (920) 400-9322
Annual test volume the lab reported
- Waived tests
- 14,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Randolph, WI
- Randolph Community Clinic SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D0980872
- Randolph EMSCertificate of Waiver, Ambulance52D0980275
- Randolph Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0662014
- Randolph Health Services Assisted LivingCertificate of Waiver, Assisted living facility52D2198051
- Randolph School DistrictCertificate of Waiver, School or student health service52D2230359
Related
Questions
What is the CLIA number for Golden Years of Randolph in Randolph?
52D2286563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Golden Years of Randolph hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2286563 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.