CLIA lab

CLIA 52D1028849: Brook Gardens

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

CLIA number 52D1028849 belongs to Brook Gardens in Lake Mills, WI.

Certificate of Waiver, effective May 21, 2025, expires May 20, 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
May 21, 2025
Certificate expiration
May 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 3, 2004
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
52D1028849
Lab name
Brook Gardens
Address
300 O'neil St, Lake Mills, WI 53551
Phone
(920) 648-5760
Fax
(920) 648-4082

Annual test volume the lab reported

Waived tests
401

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

Other labs in Lake Mills, WI

Related

Questions

What is the CLIA number for Brook Gardens in Lake Mills?

52D1028849, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brook Gardens hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1028849 expire?

The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.

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