CLIA lab

CLIA 52D0388795: Pine Haven Christian Home

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

CLIA number 52D0388795 belongs to Pine Haven Christian Home in Sheboygan Falls, WI.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 8, 1994
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
52D0388795
Lab name
Pine Haven Christian Home
Address
220 Haven Drive, Sheboygan Falls, WI 53085
Phone
(920) 550-5689
Fax
(920) 467-2573

Annual test volume the lab reported

Waived tests
4,000

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

Other labs in Sheboygan Falls, WI

Related

Questions

What is the CLIA number for Pine Haven Christian Home in Sheboygan Falls?

52D0388795, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pine Haven Christian Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0388795 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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