CLIA lab
CLIA 52D2174850: ST Croix Hospice - Fond Du Lac
Fort Atkinson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2174850 belongs to ST Croix Hospice - Fond Du Lac in Fort Atkinson, WI.
Certificate of Waiver, effective November 8, 2025, expires November 7, 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
- November 8, 2025
- Certificate expiration
- November 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 8, 2019
- Facility type
- Hospice
- 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
- 52D2174850
- Lab name
- ST Croix Hospice - Fond Du Lac
- Address
- 825 Lexington Blvd Ste 1A, Fort Atkinson, WI 53538
- Phone
- (920) 471-1608
- Fax
- (920) 933-6062
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for ST Croix Hospice - Fond Du Lac in Fort Atkinson?
52D2174850, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Croix Hospice - Fond Du Lac hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2174850 expire?
The CMS file lists November 7, 2027 as the certificate expiration date; the certificate took effect November 8, 2025.