CLIA lab
CLIA 52D0987705: Vintage on the Ponds
Delavan, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0987705 belongs to Vintage on the Ponds in Delavan, WI.
Certificate of Waiver, effective March 26, 2026, expires March 25, 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
- March 26, 2026
- Certificate expiration
- March 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2001
- Facility type
- Assisted living 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
- 52D0987705
- Lab name
- Vintage on the Ponds
- Address
- N4901 Dam Rd, Delavan, WI 53115
- Phone
- (262) 728-2171
- Fax
- (262) 728-1836
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Delavan, WI
- Aurora Health Center-DelavanCertificate of Waiver, Physician office52D0389118
- Care Atc - AndesCertificate of Waiver, Other52D2086322
- City of Delavan Fire DepartmentCertificate of Waiver, Ambulance52D2133397
- Clifford R Poplar MDCertificate of Waiver, Physician office52D0389111
- Delavan Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0664815
- Lake Delevan Center ICertificate of Waiver, Other52D2349453
- Lake Delevan Center IICertificate of Waiver, Other52D2349454
- Mercy Delavan LaboratoryCertificate of Waiver, Physician office52D0892801
- New Day Women's ClinicCertificate of Waiver, Community clinic52D2176745
- Ridgestone Village LTDCertificate of Waiver, Assisted living facility52D1016309
Related
Questions
What is the CLIA number for Vintage on the Ponds in Delavan?
52D0987705, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vintage on the Ponds hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0987705 expire?
The CMS file lists March 25, 2028 as the certificate expiration date; the certificate took effect March 26, 2026.