CLIA lab
CLIA 52D0994950: Keystone Lodi, LLC
Lodi, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0994950 belongs to Keystone Lodi, LLC in Lodi, WI.
Certificate of Waiver, effective January 7, 2026, expires January 6, 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
- January 7, 2026
- Certificate expiration
- January 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 7, 2002
- 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
- 52D0994950
- Lab name
- Keystone Lodi, LLC
- Address
- 121 Second St, Lodi, WI 53555
- Phone
- (608) 592-7433
- Fax
- (608) 592-4812
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 Lodi, WI
- Divine Healthcare - LodiCertificate of Waiver, Skilled nursing or nursing facility52D0669708
- Lodi Hometown PharmacyCertificate of Waiver, Pharmacy52D2125748
- Lodi School DistrictCertificate of Waiver, School or student health service52D2230143
- Sauk Prairie Healthcare - Lodi ClinicCertificate of Accreditation, Physician office52D0392940
Related
Questions
What is the CLIA number for Keystone Lodi, LLC in Lodi?
52D0994950, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keystone Lodi, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0994950 expire?
The CMS file lists January 6, 2028 as the certificate expiration date; the certificate took effect January 7, 2026.