CLIA lab
CLIA 52D2136223: Keyes & Young Houses/ Fountainhead Homes
De Forest, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2136223 belongs to Keyes & Young Houses/ Fountainhead Homes in De Forest, WI.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2017
- 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
- 52D2136223
- Lab name
- Keyes & Young Houses/ Fountainhead Homes
- Address
- 4141 Savannah Drive, De Forest, WI 53532
- Phone
- (608) 347-0366
- Fax
- (608) 798-0786
Annual test volume the lab reported
- Waived tests
- 2,190
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in De Forest, WI
- Badger Care ClinicCertificate of Waiver, Physician office52D2121908
- Deforest Hometown PharmacyCertificate of Waiver, Pharmacy52D2126442
- Essential Family Vision CareCertificate of Waiver, Other practitioner52D2128923
- Koselig House, theCertificate of Waiver, Assisted living facility52D2318160
- Legacy of Deforest, theCertificate of Waiver, Assisted living facility52D2171153
- Parkside Assisted LivingCertificate of Waiver, Assisted living facility52D2019035
- Rosman/Sosa HouseCertificate of Waiver, Assisted living facility52D2316643
- Unitypoint Health- Meriter- Deforest- WindsorCertificate of Waiver, Physician office52D2026492
- Walgreens #09740Certificate of Waiver, Pharmacy52D2059520
- Weatherly/Rathey HouseCertificate of Waiver, Assisted living facility52D2316641
Related
Questions
What is the CLIA number for Keyes & Young Houses/ Fountainhead Homes in De Forest?
52D2136223, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keyes & Young Houses/ Fountainhead Homes hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2136223 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.