CLIA lab

CLIA 52D2209363: Girlie's Manor

Mount Horeb, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2209363 belongs to Girlie's Manor in Mount Horeb, WI.

Certificate of Waiver, effective January 13, 2025, expires January 12, 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
January 13, 2025
Certificate expiration
January 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 13, 2021
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
52D2209363
Lab name
Girlie's Manor
Address
104 Lincoln Ct, Mount Horeb, WI 53572
Phone
(608) 437-2778
Fax
(608) 437-2779

Annual test volume the lab reported

Waived tests
2,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Mount Horeb, WI

Related

Questions

What is the CLIA number for Girlie's Manor in Mount Horeb?

52D2209363, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Girlie's Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2209363 expire?

The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.

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