CLIA lab

CLIA 52D2009695: Fardale Home

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

CLIA number 52D2009695 belongs to Fardale Home in Milwaukee, WI.

Certificate of Waiver, effective July 9, 2026, expires July 8, 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
July 9, 2026
Certificate expiration
July 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 9, 2010
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2009695
Lab name
Fardale Home
Address
3031 W Fardale Ave, Milwaukee, WI 53221
Phone
(414) 944-9314
Fax
(414) 282-8254

Annual test volume the lab reported

Waived tests
5,840

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

Affiliated CLIA numbers

Other labs in Milwaukee, WI

Related

Questions

What is the CLIA number for Fardale Home in Milwaukee?

52D2009695, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fardale Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2009695 expire?

The CMS file lists July 8, 2028 as the certificate expiration date; the certificate took effect July 9, 2026.

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