CLIA lab

CLIA 52D1015322: Wellington Place

Fort Atkinson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D1015322 belongs to Wellington Place in Fort Atkinson, WI.

Certificate of Waiver, effective November 12, 2024, expires November 11, 2026.

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
November 12, 2024
Certificate expiration
November 11, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 2003
Facility type
Assisted living facility
Ownership (control type)
Government, state
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
52D1015322
Lab name
Wellington Place
Address
200 S Water St W, Fort Atkinson, WI 53538
Phone
(920) 563-6959
Fax
(920) 442-5115

Annual test volume the lab reported

Waived tests
1,456

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fort Atkinson, WI

Related

Questions

What is the CLIA number for Wellington Place in Fort Atkinson?

52D1015322, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wellington Place hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1015322 expire?

The CMS file lists November 11, 2026 as the certificate expiration date; the certificate took effect November 12, 2024.

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