CLIA lab
CLIA 52D1089104: Lakeshore Manor
Oshkosh, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1089104 belongs to Lakeshore Manor in Oshkosh, WI.
Certificate of Waiver, effective April 22, 2025, expires April 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
- April 22, 2025
- Certificate expiration
- April 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2008
- 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
- 52D1089104
- Lab name
- Lakeshore Manor
- Address
- 711 Bayshore Dr, Oshkosh, WI 54901
- Phone
- (920) 426-2670
- Fax
- (920) 426-2135
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Amg Oshkosh-WesthavenCertificate for Provider-Performed Microscopy Procedures, Physician office52D0397358
- Ams of Wisconsin LLC OshkoshCertificate of Waiver, Other52D2102178
- Anovia Health OshkoshCertificate of Waiver, Community clinic52D2321914
- Arborview ManorCertificate of Waiver, Assisted living facility52D2204424
- Ascension Medical Group- Fox Valley Wisconsin IncCertificate of Waiver, Physician office52D0667212
Related
Questions
What is the CLIA number for Lakeshore Manor in Oshkosh?
52D1089104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeshore Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1089104 expire?
The CMS file lists April 21, 2027 as the certificate expiration date; the certificate took effect April 22, 2025.