CLIA lab
CLIA 52D0981257: ST Dominic Villa
Hazel Green, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0981257 belongs to ST Dominic Villa in Hazel Green, WI.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2000
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- 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
- 52D0981257
- Lab name
- ST Dominic Villa
- Address
- 2375 Sinsinawa Rd, Hazel Green, WI 53811
- Phone
- (608) 748-9814
- Fax
- (608) 748-9945
Annual test volume the lab reported
- Waived tests
- 14,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- ST Dominic VillaCMS Care Compare ratings for the facility at the same street address
Other labs in Hazel Green, WI
Related
Questions
What is the CLIA number for ST Dominic Villa in Hazel Green?
52D0981257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Dominic Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0981257 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.