CLIA lab

CLIA 52D1054774: Gardens of Fountain Way,the

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

CLIA number 52D1054774 belongs to Gardens of Fountain Way,the in Menasha, WI.

Certificate of Waiver, effective May 31, 2026, expires May 30, 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
May 31, 2026
Certificate expiration
May 30, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 31, 2006
Facility type
Other
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
52D1054774
Lab name
Gardens of Fountain Way,the
Address
1050 Fountain Way, Menasha, WI 54952
Phone
(920) 993-9980

Annual test volume the lab reported

Waived tests
6,570

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

Other labs in Menasha, WI

Related

Questions

What is the CLIA number for Gardens of Fountain Way,the in Menasha?

52D1054774, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gardens of Fountain Way,the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1054774 expire?

The CMS file lists May 30, 2028 as the certificate expiration date; the certificate took effect May 31, 2026.

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