CLIA lab

CLIA 52D0671107: Eden Senior Care

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

CLIA number 52D0671107 belongs to Eden Senior Care 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

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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 14, 1993
Facility type
Skilled nursing or nursing 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
52D0671107
Lab name
Eden Senior Care
Additional name
DBA Edenbrook of Fonddulac
Address
265 S National Ave, Fond Du Lac, WI 54935
Phone
(920) 922-7342

Annual test volume the lab reported

Waived tests
1,845

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

Care facility at this address

Affiliated CLIA numbers

Other labs in Fond Du Lac, WI

Related

Questions

What is the CLIA number for Eden Senior Care in Fond Du Lac?

52D0671107, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eden Senior Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0671107 expire?

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

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