CLIA lab
CLIA 52D2195930: Graceland Manor II
Monroe, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2195930 belongs to Graceland Manor II in Monroe, WI.
Certificate of Waiver, effective October 13, 2024, expiration date October 12, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 13, 2024
- Certificate expiration
- October 12, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 13, 2020
- 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
- 52D2195930
- Lab name
- Graceland Manor II
- Address
- 320 W 17th St, Monroe, WI 53566
- Phone
- (608) 329-7090
- Fax
- (608) 329-7092
Annual test volume the lab reported
- Waived tests
- 3,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Monroe, WI
- Advanced Dermatology IncCertificate of Compliance, Physician office52D0993510
- Aster Retirement CommunityCertificate of Waiver, Assisted living facility52D1107179
- Colony Brands Health and Wellness CenterCertificate of Waiver, Industrial52D2041284
- Dimensions Living Monroe ICertificate of Waiver, Assisted living facility52D0983998
- Dimensions Living Monroe IICertificate of Waiver, Assisted living facility52D2025216
- Green County EMSCertificate of Waiver, Ambulance52D0985154
- Green County Health DepartmentCertificate of Waiver, Public health laboratory52D0661972
- Green County Human Services DepartmentCertificate of Waiver, Other52D2122717
- Green County JailCertificate of Waiver, Other52D2185598
- Kempel Enterprises, Inc Dba/Star Ambulance ServiceCertificate of Waiver, Ambulance52D2118889
Related
Questions
What is the CLIA number for Graceland Manor II in Monroe?
52D2195930, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Graceland Manor II hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2195930 expire?
The CMS file lists October 12, 2026 as the certificate expiration date; the certificate took effect October 13, 2024.