CLIA lab
CLIA 52D0040042: Black River Memorial Hospital -
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0040042 belongs to Black River Memorial Hospital - in Black River Falls, WI.
Certificate of Accreditation, effective January 3, 2025, expires January 2, 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 Accreditation
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 31, 1992
- Facility type
- Hospital
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- The Joint Commission
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0040042
- Lab name
- Black River Memorial Hospital -
- Additional name
- Black River Health, Inc
- Address
- 711 W Adams St, Black River Falls, WI 54615
- Phone
- (715) 284-5361
- Fax
- (715) 284-1388
Annual test volume the lab reported
- Waived tests
- 4,875
- Tests under accreditation
- 208,916
- Total
- 213,791
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Black River Memorial HospitalCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Black River Falls, WI
- Aptiv-Black River Falls Day ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2325030
- Black River Chiropractic ClinicCertificate of Waiver, Other practitioner52D0396357
- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Healthcare Clinic -Certificate of Waiver, Rural health clinic52D2264019
- Country TerraceCertificate of Waiver, Assisted living facility52D1017946
- Country Terrace of WisconsinCertificate of Waiver, Assisted living facility52D2180820
- Creative Community Living ServicesCertificate of Waiver, Assisted living facility52D2055173
- Creative Community Living Services, IncCertificate of Waiver, Assisted living facility52D2163159
- Creative Community Living Services, Inc-Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2310883
- Footprints in Time Midwifery & Family ServicesCertificate of Waiver, Physician office52D2030978
Related
Questions
What is the CLIA number for Black River Memorial Hospital - in Black River Falls?
52D0040042, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black River Memorial Hospital - hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 52D0040042 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.