CLIA lab
CLIA 52D1098542: Kettle Moraine Gardens
Kewaskum, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1098542 belongs to Kettle Moraine Gardens in Kewaskum, WI.
Certificate of Waiver, effective April 21, 2025, expires April 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
- April 21, 2025
- Certificate expiration
- April 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2009
- 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
- 52D1098542
- Lab name
- Kettle Moraine Gardens
- Address
- 1038 Fond Du Lac Ave, Kewaskum, WI 53040
- Phone
- (262) 689-9725
- Fax
- (262) 692-9014
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kettle Moraine Gardens in Kewaskum?
52D1098542, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kettle Moraine Gardens hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1098542 expire?
The CMS file lists April 20, 2027 as the certificate expiration date; the certificate took effect April 21, 2025.