CLIA lab
CLIA 52D0963259: Amg Manitowoc 4100 Dewey
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0963259 belongs to Amg Manitowoc 4100 Dewey in Manitowoc, WI.
Certificate of Waiver, effective May 15, 2026, expires May 14, 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
- May 15, 2026
- Certificate expiration
- May 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 27, 1999
- Facility type
- Physician office
- 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
- 52D0963259
- Lab name
- Amg Manitowoc 4100 Dewey
- Address
- 4100 Dewey St, Manitowoc, WI 54220
- Phone
- (920) 793-7004
- Fax
- (920) 793-7391
Annual test volume the lab reported
- Waived tests
- 250
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
- 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
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2011214
Related
Questions
What is the CLIA number for Amg Manitowoc 4100 Dewey in Manitowoc?
52D0963259, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amg Manitowoc 4100 Dewey hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0963259 expire?
The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.