CLIA lab
CLIA 52D0676495: Montello Care Center
Montello, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0676495 belongs to Montello Care Center in Montello, 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)
- 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
- 52D0676495
- Lab name
- Montello Care Center
- Additional name
- The Residences on Forest Lane
- Address
- 251 Forest Lane, Montello, WI 53949
- Phone
- (608) 297-2153
- Fax
- (608) 297-9328
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Montello Care CenterCMS Care Compare ratings for the facility at the same street address
Other labs in Montello, WI
- CWP - MontelloCertificate of Waiver, Pharmacy52D2316765
- Marquette County EMSCertificate of Waiver, Ambulance52D0394116
- Marquette County Human ServicesCertificate of Waiver, Other52D2114110
- Marquette County Public HealthCertificate of Waiver, Public health laboratory52D0662745
- Marquette County Sheriffs OfficeCertificate of Waiver, Other52D2040085
- Montello School DistrictCertificate of Waiver, School or student health service52D2271536
Related
Questions
What is the CLIA number for Montello Care Center in Montello?
52D0676495, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montello Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0676495 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.