CLIA lab
CLIA 52D2111114: Agnesian Dermatology
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2111114 belongs to Agnesian Dermatology in Fond Du Lac, WI.
Certificate for Provider-Performed Microscopy Procedures, effective March 31, 2026, expires March 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 31, 2026
- Certificate expiration
- March 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 31, 2016
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 52D2111114
- Lab name
- Agnesian Dermatology
- Address
- 145 N Main St, Attn Jessica Hanrahan, Fond Du Lac, WI 54935
- Phone
- (920) 926-8722
- Fax
- (920) 926-8912
Annual test volume the lab reported
- Provider-performed microscopy tests
- 35
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fond Du Lac, WI
- A2cl-Aurora Fond Du Lac Medical CenterCertificate of Accreditation, Hospital52D2302260
- Adelaide PlaceCertificate of Waiver, Assisted living facility52D2122417
- Agnesian Healthcare Adult Day ServicesCertificate of Waiver, Assisted living facility52D2197672
- Allay Home & Hospice IncCertificate of Waiver, Home health agency52D2016092
- Aurora Fond Du Lac ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office52D0908714
- Biolife Plasma Services LPCertificate of Compliance, Other52D1005039
- Blandine House IncCertificate of Waiver, Other52D2212447
- City of Fond Du Lac Fire RescueCertificate of Waiver, Ambulance52D1008743
- Consultants Laboratory of Wi LLC WestCertificate of Waiver, Physician office52D0876165
- Consultants Laboratory of Wi, LLCCertificate of Accreditation, Independent52D0397685
Related
Questions
What is the CLIA number for Agnesian Dermatology in Fond Du Lac?
52D2111114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Agnesian Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D2111114 expire?
The CMS file lists March 30, 2028 as the certificate expiration date; the certificate took effect March 31, 2026.