CLIA lab
CLIA 52D0662593: Shady Lane Inc
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0662593 belongs to Shady Lane Inc in Manitowoc, 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
- May 19, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 52D0662593
- Lab name
- Shady Lane Inc
- Address
- 1235 S 24th St, Manitowoc, WI 54220
- Phone
- (920) 682-8254
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Shady Lane Nursing Care CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Manitowoc, WI
- Amg Manitowoc 3509 DeweyCertificate of Waiver, Physician office52D2287247
- Amg Manitowoc 4100 DeweyCertificate of Waiver, Physician office52D0963259
- Angelus Village of Manitowoc, LLCCertificate of Waiver, Assisted living facility52D2203592
- Aurora Baycare UrologyCertificate of Waiver, Physician office52D0967225
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D1053145
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D2090134
- Bellin Health FMC ManitowocCertificate of Compliance, Physician office52D1097053
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1087764
- Dimensions Living ManitowocCertificate of Waiver, Assisted living facility52D1018315
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D0702189
Related
Questions
What is the CLIA number for Shady Lane Inc in Manitowoc?
52D0662593, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shady Lane Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0662593 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.