CLIA lab
CLIA 52D0662124: Polk County Community Services Division
Balsam Lake, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0662124 belongs to Polk County Community Services Division in Balsam Lake, WI.
Certificate for Provider-Performed Microscopy Procedures, effective November 1, 2025, expires October 31, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- November 1, 2025
- Certificate expiration
- October 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Public health laboratory
- 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
- 52D0662124
- Lab name
- Polk County Community Services Division
- Address
- 100 Polk County Plaza Ste 180, Balsam Lake, WI 54810
- Phone
- (715) 485-8506
- Fax
- (715) 485-8501
Annual test volume the lab reported
- Waived tests
- 2,100
- Provider-performed microscopy tests
- 50
- Total
- 2,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Balsam Lake, WI
Related
Questions
What is the CLIA number for Polk County Community Services Division in Balsam Lake?
52D0662124, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Polk County Community Services Division hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0662124 expire?
The CMS file lists October 31, 2027 as the certificate expiration date; the certificate took effect November 1, 2025.