CLIA lab
CLIA 52D0675851: Manor Fond Du Lac, the
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0675851 belongs to Manor Fond Du Lac, the 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
- December 18, 1992
- 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
- 52D0675851
- Lab name
- Manor Fond Du Lac, the
- Address
- 517 E Division Street, Fond Du Lac, WI 54935
- Phone
- (920) 921-6800
- Fax
- (920) 921-6875
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Avina on DivisionCMS Care Compare ratings for the facility at the same street address
Other labs in Fond Du Lac, WI
- A2cl-Aurora Fond Du Lac Medical CenterCertificate of Accreditation, Hospital52D2302260
- Adelaide PlaceCertificate of Waiver, Assisted living facility52D2122417
- Agnesian DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111114
- Agnesian Healthcare Adult Day ServicesCertificate of Waiver, Assisted living facility52D2197672
- Allay Home & Hospice IncCertificate of Waiver, Home health agency52D2016092
- Aurora Fond Du Lac ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office52D0908714
- Biolife Plasma Services LPCertificate of Compliance, Other52D1005039
- Blandine House IncCertificate of Waiver, Other52D2212447
- City of Fond Du Lac Fire RescueCertificate of Waiver, Ambulance52D1008743
- Consultants Laboratory of Wi LLC WestCertificate of Waiver, Physician office52D0876165
Related
Questions
What is the CLIA number for Manor Fond Du Lac, the in Fond Du Lac?
52D0675851, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Manor Fond Du Lac, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0675851 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.