CLIA lab

CLIA 52D0661888: Holton Manor

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

CLIA number 52D0661888 belongs to Holton Manor in Elkhorn, 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

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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
January 19, 1993
Facility type
Skilled nursing or nursing 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
52D0661888
Lab name
Holton Manor
Address
645 N Church St, Elkhorn, WI 53121
Phone
(262) 723-4963

Care facility at this address

  • Holton ManorCMS Care Compare ratings for the facility at the same street address

Other labs in Elkhorn, WI

Related

Questions

What is the CLIA number for Holton Manor in Elkhorn?

52D0661888, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holton Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0661888 expire?

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

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