CLIA lab

CLIA 52D2112431: Lake Delton Dialysis

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

CLIA number 52D2112431 belongs to Lake Delton Dialysis in Wisconsin Dells, WI.

Certificate of Waiver, effective April 28, 2026, expires April 27, 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
April 28, 2026
Certificate expiration
April 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 28, 2016
Facility type
End stage renal disease dialysis 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
52D2112431
Lab name
Lake Delton Dialysis
Address
14 Cty Rd P, Wisconsin Dells, WI 53965
Phone
(608) 253-3597
Fax
(608) 253-3948

Annual test volume the lab reported

Waived tests
3,744

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

Other labs in Wisconsin Dells, WI

Related

Questions

What is the CLIA number for Lake Delton Dialysis in Wisconsin Dells?

52D2112431, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lake Delton Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2112431 expire?

The CMS file lists April 27, 2028 as the certificate expiration date; the certificate took effect April 28, 2026.

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