CLIA lab
CLIA 52D0958116: Froedtert Manitowoc Medical Group, LLC
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0958116 belongs to Froedtert Manitowoc Medical Group, LLC in Manitowoc, WI.
Certificate of Waiver, effective August 31, 2025, expires August 30, 2027.
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
- August 31, 2025
- Certificate expiration
- August 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 1999
- Facility type
- Community clinic
- 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
- 52D0958116
- Lab name
- Froedtert Manitowoc Medical Group, LLC
- Address
- 2300 Western Avenue, Manitowoc, WI 54220
- Phone
- (920) 320-2243
- Fax
- (920) 320-5149
Annual test volume the lab reported
- Waived tests
- 890
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Froedtert Manitowoc Medical Group, LLC in Manitowoc?
52D0958116, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Froedtert Manitowoc Medical Group, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0958116 expire?
The CMS file lists August 30, 2027 as the certificate expiration date; the certificate took effect August 31, 2025.