CLIA lab
CLIA 52D2321007: Thedacare Medical Center- Fond Du Lac
Fond Du Lac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2321007 belongs to Thedacare Medical Center- Fond Du Lac in Fond Du Lac, WI.
Certificate of Compliance, effective September 25, 2025, expires September 24, 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 Compliance
- Certificate effective
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2025
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2321007
- Lab name
- Thedacare Medical Center- Fond Du Lac
- Address
- 755 W Johnson Street, Fond Du Lac, WI 54935
- Phone
- (920) 763-2831
Annual test volume the lab reported
- Waived tests
- 1,900
- Other nonwaived tests
- 17,562
- Total
- 19,462
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fond Du Lac, WI
- A2cl-Aurora Fond Du Lac Medical CenterCertificate of Accreditation, Hospital52D2302260
- Adelaide PlaceCertificate of Waiver, Assisted living facility52D2122417
- Agnesian DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office52D2111114
- Agnesian Healthcare Adult Day ServicesCertificate of Waiver, Assisted living facility52D2197672
- Allay Home & Hospice IncCertificate of Waiver, Home health agency52D2016092
- Aurora Fond Du Lac ClinicCertificate for Provider-Performed Microscopy Procedures, Physician office52D0908714
- Biolife Plasma Services LPCertificate of Compliance, Other52D1005039
- Blandine House IncCertificate of Waiver, Other52D2212447
- City of Fond Du Lac Fire RescueCertificate of Waiver, Ambulance52D1008743
- Consultants Laboratory of Wi LLC WestCertificate of Waiver, Physician office52D0876165
Related
Questions
What is the CLIA number for Thedacare Medical Center- Fond Du Lac in Fond Du Lac?
52D2321007, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Medical Center- Fond Du Lac hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 52D2321007 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.