CLIA lab
CLIA 52D1091140: Lake Country Dialysis
Delafield, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1091140 belongs to Lake Country Dialysis in Delafield, WI.
Certificate of Waiver, effective October 27, 2026, expires October 26, 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
- October 27, 2026
- Certificate expiration
- October 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2008
- Facility type
- End stage renal disease dialysis facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1091140
- Lab name
- Lake Country Dialysis
- Address
- 2301 Sun Valley Dr Ste 101, Delafield, WI 53018
- Phone
- (262) 646-6468
- Fax
- (262) 646-2549
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Lake Country Dialysis (PD)CMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Delafield, WI
- Greg Heal, MDCertificate for Provider-Performed Microscopy Procedures, Physician office52D0886038
- Lake Country Fire and RescueCertificate of Waiver, Ambulance52D0962697
- Prohealth Medical Group, Inc -Certificate of Waiver, Physician office52D0994378
- Rogers Memorial Hospital- Delafield BCertificate of Waiver, Other52D2320736
- ST John's Northwestern Academies InfirmaryCertificate of Waiver, School or student health service52D2289381
- South East Wisconsin Wellness Service CorporationCertificate of Accreditation, Physician office52D2312545
- Walgreens #05281Certificate of Waiver, Pharmacy52D2070729
- Walmart Pharmacy 10-1678Certificate of Waiver, Pharmacy52D2257194
Related
Questions
What is the CLIA number for Lake Country Dialysis in Delafield?
52D1091140, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Country Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1091140 expire?
The CMS file lists October 26, 2028 as the certificate expiration date; the certificate took effect October 27, 2026.