CLIA lab
CLIA 52D2342587: Sycamore Lodge Senior Living
Mishicot, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2342587 belongs to Sycamore Lodge Senior Living in Mishicot, WI.
Certificate of Waiver, effective April 22, 2026, expires April 21, 2028.
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
- April 22, 2026
- Certificate expiration
- April 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 22, 2026
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2342587
- Lab name
- Sycamore Lodge Senior Living
- Address
- 275 S State Street, Mishicot, WI 54228
- Phone
- (920) 717-8048
- Fax
- (920) 629-8738
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mishicot, WI
Related
Questions
What is the CLIA number for Sycamore Lodge Senior Living in Mishicot?
52D2342587, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sycamore Lodge Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2342587 expire?
The CMS file lists April 21, 2028 as the certificate expiration date; the certificate took effect April 22, 2026.