CLIA lab
CLIA 52D0684455: Pine Valley Community Village
Richland Center, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0684455 belongs to Pine Valley Community Village in Richland Center, 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
- January 6, 1993
- Facility type
- Skilled nursing or nursing facility
- 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
- 52D0684455
- Lab name
- Pine Valley Community Village
- Address
- 25951 Circle View Lane, Richland Center, WI 53581
- Phone
- (608) 647-2138
Annual test volume the lab reported
- Waived tests
- 1,050
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pine Valley Community VillageCMS Care Compare ratings for the facility at the same street address
Other labs in Richland Center, WI
- Center Pharmacy, IncCertificate of Waiver, Pharmacy52D2183431
- Forward Home for Boys, LLCCertificate of Waiver, Independent52D2261784
- Ithaca School DistrictCertificate of Waiver, School or student health service52D2239787
- Jwdr DialysisCertificate of Waiver, End stage renal disease dialysis facility52D2235125
- Ksms Our House, LLC Richland Center Memory CareCertificate of Waiver, Assisted living facility52D1049910
- Ksms Our House, LLC- Richland Center RcacCertificate of Waiver, Assisted living facility52D2093169
- Marshfield Clinic Richland CenterCertificate of Registration, Independent52D2336199
- Pine Counseling IncCertificate of Waiver, Other practitioner52D2325072
- Pine Valley Assisted LivingCertificate of Waiver, Assisted living facility52D2117253
- Richland Chiropractic Clinic LLCCertificate of Waiver, Physician office52D2283726
Related
Questions
What is the CLIA number for Pine Valley Community Village in Richland Center?
52D0684455, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Valley Community Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0684455 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.