CLIA lab
CLIA 52D2344649: Legacy Recovery Center, LLC
Mukwonago, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2344649 belongs to Legacy Recovery Center, LLC in Mukwonago, WI.
Certificate of Waiver, effective May 27, 2026, expires May 26, 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
- May 27, 2026
- Certificate expiration
- May 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 27, 2026
- Facility type
- Other
- 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
- 52D2344649
- Lab name
- Legacy Recovery Center, LLC
- Address
- W332S9291 Red Brae Dr, Mukwonago, WI 53149
- Phone
- (936) 615-0981
- Fax
- (323) 580-0308
Annual test volume the lab reported
- Waived tests
- 90
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Beber CampCertificate of Waiver, Other52D2219547
- Birchrock CastleCertificate of Waiver, Assisted living facility52D2175806
- Life's Connection Inc - Mukwonago CenterCertificate of Waiver, Other52D2037346
- Lindengrove MukwonagoCertificate of Waiver, Skilled nursing or nursing facility52D0967571
- Mukwonago DialysisCertificate of Waiver, End stage renal disease dialysis facility52D0988765
- Orthopaedic Associates of WisconsinCertificate of Waiver, Physician office52D2152721
Related
Questions
What is the CLIA number for Legacy Recovery Center, LLC in Mukwonago?
52D2344649, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Recovery Center, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2344649 expire?
The CMS file lists May 26, 2028 as the certificate expiration date; the certificate took effect May 27, 2026.