CLIA lab
CLIA 52D2325609: Ignite Capoeira Virtual Academy
Grantsburg, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2325609 belongs to Ignite Capoeira Virtual Academy in Grantsburg, WI.
Certificate of Waiver, effective June 17, 2025, expires June 16, 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
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2025
- Facility type
- Independent
- 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
- 52D2325609
- Lab name
- Ignite Capoeira Virtual Academy
- Address
- 630 N Pine Street, Grantsburg, WI 54840
- Phone
- (763) 442-7821
Annual test volume the lab reported
- Waived tests
- 120
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 Ignite Capoeira Virtual Academy in Grantsburg?
52D2325609, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ignite Capoeira Virtual Academy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2325609 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.