CLIA lab
CLIA 52D1020480: Odyssey Healthcare Holding Company
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1020480 belongs to Odyssey Healthcare Holding Company in Fond Du Lac, WI.
Certificate of Waiver, effective December 22, 2025, expires December 21, 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
- December 22, 2025
- Certificate expiration
- December 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 2003
- Facility type
- Hospice
- 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
- 52D1020480
- Lab name
- Odyssey Healthcare Holding Company
- Additional name
- DBA Heartland Hospice (Fond Du Lac)
- Address
- N6650 Rolling Meadows Dr, Ste 1, Fond Du Lac, WI 54937
- Phone
- (920) 926-1144
- Fax
- (920) 906-9036
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- 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 Odyssey Healthcare Holding Company in Fond Du Lac?
52D1020480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Odyssey Healthcare Holding Company hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1020480 expire?
The CMS file lists December 21, 2027 as the certificate expiration date; the certificate took effect December 22, 2025.