CLIA lab
CLIA 52D1019298: Maple Meadows Assisted Living
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1019298 belongs to Maple Meadows Assisted Living in Fond Du Lac, WI.
Certificate of Waiver, effective November 17, 2025, expires November 16, 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
- November 17, 2025
- Certificate expiration
- November 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 17, 2003
- 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
- 52D1019298
- Lab name
- Maple Meadows Assisted Living
- Address
- 1001 Primrose Lane, Fond Du Lac, WI 54935
- Phone
- (920) 245-3093
- Fax
- (920) 924-7767
Annual test volume the lab reported
- Waived tests
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fond Du Lac, WI
- A2cl-Aurora Fond Du Lac Medical CenterCertificate of Accreditation, Hospital52D2302260
- Adelaide PlaceCertificate of Waiver, Assisted living facility52D2122417
- Agnesian DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111114
- Agnesian Healthcare Adult Day ServicesCertificate of Waiver, Assisted living facility52D2197672
- Allay Home & Hospice IncCertificate of Waiver, Home health agency52D2016092
- Aurora Fond Du Lac ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office52D0908714
- Biolife Plasma Services LPCertificate of Compliance, Other52D1005039
- Blandine House IncCertificate of Waiver, Other52D2212447
- City of Fond Du Lac Fire RescueCertificate of Waiver, Ambulance52D1008743
- Consultants Laboratory of Wi LLC WestCertificate of Waiver, Physician office52D0876165
Related
Questions
What is the CLIA number for Maple Meadows Assisted Living in Fond Du Lac?
52D1019298, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple Meadows Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1019298 expire?
The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.