CLIA lab
CLIA 52D2122417: Adelaide Place
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2122417 belongs to Adelaide Place in Fond Du Lac, WI.
Certificate of Waiver, effective November 29, 2024, expires November 28, 2026.
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
- November 29, 2024
- Certificate expiration
- November 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 29, 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
- 52D2122417
- Lab name
- Adelaide Place
- Address
- 478 W Arndt St, Fond Du Lac, WI 54935
- Phone
- (920) 933-6304
- Fax
- (920) 933-6307
Annual test volume the lab reported
- Waived tests
- 25,000
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
- Agnesian DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111114
- 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 Adelaide Place in Fond Du Lac?
52D2122417, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adelaide Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2122417 expire?
The CMS file lists November 28, 2026 as the certificate expiration date; the certificate took effect November 29, 2024.