CLIA lab

CLIA 52D2112687: Lincoln Village

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

CLIA number 52D2112687 belongs to Lincoln Village in Port Washington, WI.

Certificate of Waiver, effective August 13, 2025, expires August 12, 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
August 13, 2025
Certificate expiration
August 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 5, 2016
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
52D2112687
Lab name
Lincoln Village
Address
1330 W Lincoln Ave, Port Washington, WI 53074
Phone
(262) 268-1300
Fax
(262) 268-1713

Annual test volume the lab reported

Waived tests
550

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

Other labs in Port Washington, WI

Related

Questions

What is the CLIA number for Lincoln Village in Port Washington?

52D2112687, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lincoln Village hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2112687 expire?

The CMS file lists August 12, 2027 as the certificate expiration date; the certificate took effect August 13, 2025.

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