CLIA lab
CLIA 52D0662089: Jackson County Public Health Dept
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0662089 belongs to Jackson County Public Health Dept in Black River 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
- May 6, 1993
- Facility type
- Home health agency
- Ownership (control type)
- Government, county
- 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
- 52D0662089
- Lab name
- Jackson County Public Health Dept
- Address
- 421 County Road R, Black River Falls, WI 54615
- Phone
- (715) 284-4301
- Fax
- (715) 284-7713
Annual test volume the lab reported
- Waived tests
- 1,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Healthcare Clinic -Certificate of Waiver, Rural health clinic52D2264019
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- 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
Related
Questions
What is the CLIA number for Jackson County Public Health Dept in Black River Falls?
52D0662089, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson County Public Health Dept hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0662089 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.