CLIA lab

CLIA 52D0397726: ST Agnes Hosp

Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0397726 belongs to ST Agnes Hosp in Fond Du Lac, WI.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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

Run it in Rivvi

Map your lab's test names to LOINC codes

Open in Rivvi

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Certificate

Certificate type
Certificate of Waiver
Certificate effective
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 24, 1993
Facility type
Ancillary test site
Ownership (control type)
Religious affiliation
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
52D0397726
Lab name
ST Agnes Hosp
Address
430 E Division St, Fond Du Lac, WI 54935
Phone
(920) 924-2300

Annual test volume the lab reported

Waived tests
17,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fond Du Lac, WI

Related

Questions

What is the CLIA number for ST Agnes Hosp in Fond Du Lac?

52D0397726, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Agnes Hosp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0397726 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

Try it on your own data today.

Free to start. Most teams are using it the same day.