CLIA lab
CLIA 52D0881426: Ingleside Manor
Mount Horeb, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0881426 belongs to Ingleside Manor in Mount Horeb, WI.
Certificate of Waiver, effective January 11, 2026, expires January 10, 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
- January 11, 2026
- Certificate expiration
- January 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 11, 1994
- 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
- 52D0881426
- Lab name
- Ingleside Manor
- Address
- 407 N 8th, Mount Horeb, WI 53572
- Phone
- (608) 437-5511
- Fax
- (608) 437-9603
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mount Horeb, WI
- Girlie's ManorCertificate of Waiver, Assisted living facility52D2209363
- Transitions at HomeCertificate of Waiver, Home health agency52D2215864
- Upland Hills Health Clinic - MT HorebCertificate of Waiver, Community clinic52D2094901
- Uw Health-Mount HorebCertificate of Waiver, Physician office52D0393073
- Walgreens #11648Certificate of Waiver, Pharmacy52D2218255
Related
Questions
What is the CLIA number for Ingleside Manor in Mount Horeb?
52D0881426, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ingleside Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0881426 expire?
The CMS file lists January 10, 2028 as the certificate expiration date; the certificate took effect January 11, 2026.