CLIA lab
CLIA 52D0984783: Ksms Our House LLC Whitewater Memory Care
Whitewater, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0984783 belongs to Ksms Our House LLC Whitewater Memory Care in Whitewater, WI.
Certificate of Waiver, effective March 30, 2025, expires March 29, 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
- March 30, 2025
- Certificate expiration
- March 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2001
- Facility type
- Assisted living 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
- 52D0984783
- Lab name
- Ksms Our House LLC Whitewater Memory Care
- Address
- 945 E Chicago St, Whitewater, WI 53190
- Phone
- (262) 473-1011
- Fax
- (262) 473-9782
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Whitewater, WI
- Edgerton Hospital Whitewater Urgent CareCertificate of Waiver, Community clinic52D2289699
- Lauderdale-Lagrange Fire DepartmentCertificate of Waiver, Ambulance52D0930734
- Mercy Whitewater Medical Center LabCertificate of Waiver, Physician office52D0860239
- Mulberry CampusCertificate of Waiver, Assisted living facility52D2198945
- Rock River Community Clinic, IncCertificate of Waiver, Community clinic52D2231445
- SSM Health Dean Medical Group - WhitewaterCertificate of Waiver, Physician office52D0389929
- Univ of Wisconsin-Whitewater Uhcs LaboratoryCertificate of Accreditation, School or student health service52D0672289
- Walgreens #12638Certificate of Waiver, Pharmacy52D2218308
- Walmart Pharmacy 10-1274Certificate of Waiver, Pharmacy52D2258178
- Whitewater Fire and EMSCertificate of Waiver, Ambulance52D0885708
Related
Questions
What is the CLIA number for Ksms Our House LLC Whitewater Memory Care in Whitewater?
52D0984783, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ksms Our House LLC Whitewater Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0984783 expire?
The CMS file lists March 29, 2027 as the certificate expiration date; the certificate took effect March 30, 2025.