CLIA lab
CLIA 52D0910706: ST Mary's Home for the Aged
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0910706 belongs to ST Mary's Home for the Aged in Manitowoc, WI.
Certificate of Waiver, effective January 17, 2026, expires January 16, 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 17, 2026
- Certificate expiration
- January 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 17, 1996
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Religious affiliation
- 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
- 52D0910706
- Lab name
- ST Mary's Home for the Aged
- Address
- 1635 S 21st St, Manitowoc, WI 54220
- Phone
- (920) 684-7171
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- St Marys Home for the AgedCMS 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 ST Mary's Home for the Aged in Manitowoc?
52D0910706, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary's Home for the Aged hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0910706 expire?
The CMS file lists January 16, 2028 as the certificate expiration date; the certificate took effect January 17, 2026.