CLIA lab
CLIA 52D0983656: Pine Villa
Prairie Du Sac, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0983656 belongs to Pine Villa in Prairie Du Sac, WI.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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 of Waiver
- Certificate effective
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 27, 2001
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 52D0983656
- Lab name
- Pine Villa
- Address
- 950 Prairie St, Prairie Du Sac, WI 53578
- Phone
- (608) 643-7343
- Fax
- (608) 643-2209
Other labs in Prairie Du Sac, WI
- Ballweg Family PharmacyCertificate of Waiver, Pharmacy52D2182656
- Campus Clinic - Sauk Prairie HealthcareCertificate of Waiver, Rural health clinic52D2302347
- Eannelli PharmacyCertificate of Waiver, Pharmacy52D2063714
- Sauk Prairie Healthcare - Hospital/PocCertificate of Waiver, Ancillary test site52D0725917
- Sauk Prairie Healthcare, IncCertificate of Accreditation, Hospital52D0393109
- Sauk Prairie School DistrictCertificate of Waiver, School or student health service52D2226342
Related
Questions
What is the CLIA number for Pine Villa in Prairie Du Sac?
52D0983656, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0983656 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.