CLIA lab

CLIA 52D2114991: Pick N Save #472

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

CLIA number 52D2114991 belongs to Pick N Save #472 in Fond Du Lac, WI.

Certificate of Waiver, effective June 24, 2026, expires June 23, 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
June 24, 2026
Certificate expiration
June 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 24, 2016
Facility type
Pharmacy
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
52D2114991
Lab name
Pick N Save #472
Address
55 W Pioneer Rd, Fond Du Lac, WI 54935
Phone
(920) 923-7780
Fax
(920) 926-7666

Annual test volume the lab reported

Waived tests
100

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

Related

Questions

What is the CLIA number for Pick N Save #472 in Fond Du Lac?

52D2114991, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pick N Save #472 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2114991 expire?

The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.

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