CLIA lab

CLIA 52D0994969: Ksms Our House, LLC Wisconsin Rapids Assisted Care

Wisconsin Rapids, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0994969 belongs to Ksms Our House, LLC Wisconsin Rapids Assisted Care in Wisconsin Rapids, WI.

Certificate of Waiver, effective January 8, 2026, expires January 7, 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 8, 2026
Certificate expiration
January 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 8, 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
52D0994969
Lab name
Ksms Our House, LLC Wisconsin Rapids Assisted Care
Address
2941 16th St South, Wisconsin Rapids, WI 54494
Phone
(715) 421-3060
Fax
(715) 421-3067

Annual test volume the lab reported

Waived tests
200

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Wisconsin Rapids, WI

Related

Questions

What is the CLIA number for Ksms Our House, LLC Wisconsin Rapids Assisted Care in Wisconsin Rapids?

52D0994969, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ksms Our House, LLC Wisconsin Rapids Assisted Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0994969 expire?

The CMS file lists January 7, 2028 as the certificate expiration date; the certificate took effect January 8, 2026.

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