CLIA lab
CLIA 52D2203592: Angelus Village of Manitowoc, LLC
Manitowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2203592 belongs to Angelus Village of Manitowoc, LLC in Manitowoc, WI.
Certificate of Waiver, effective December 4, 2024, expires December 3, 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
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
- December 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 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
- 52D2203592
- Lab name
- Angelus Village of Manitowoc, LLC
- Address
- 1010 Bayshore Drive, Manitowoc, WI 54220
- Phone
- (920) 553-5555
- Fax
- (920) 717-0117
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Manitowoc, WI
- Amg Manitowoc 3509 DeweyCertificate of Waiver, Physician office52D2287247
- Amg Manitowoc 4100 DeweyCertificate of Waiver, Physician office52D0963259
- Aurora Baycare UrologyCertificate of Waiver, Physician office52D0967225
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D1053145
- Baycare Clinic, LLPCertificate of Waiver, Physician office52D2090134
- Bellin Health FMC ManitowocCertificate of Compliance, Physician office52D1097053
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1087764
- Dimensions Living ManitowocCertificate of Waiver, Assisted living facility52D1018315
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D0702189
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2011214
Related
Questions
What is the CLIA number for Angelus Village of Manitowoc, LLC in Manitowoc?
52D2203592, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Angelus Village of Manitowoc, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2203592 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.