CLIA lab

CLIA 52D2214032: Mitchell Manor Oak Creek

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

CLIA number 52D2214032 belongs to Mitchell Manor Oak Creek in Oak Creek, WI.

Certificate of Waiver, effective June 17, 2026, expires June 16, 2028.

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
June 17, 2026
Certificate expiration
June 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 2021
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D2214032
Lab name
Mitchell Manor Oak Creek
Address
8740 Oak Park Dr, Oak Creek, WI 53154
Phone
(414) 766-2100
Fax
(414) 766-2200

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Oak Creek, WI

Related

Questions

What is the CLIA number for Mitchell Manor Oak Creek in Oak Creek?

52D2214032, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mitchell Manor Oak Creek hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2214032 expire?

The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.

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