CLIA lab
CLIA 52D1016309: Ridgestone Village LTD
Delavan, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1016309 belongs to Ridgestone Village LTD in Delavan, WI.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1016309
- Lab name
- Ridgestone Village LTD
- Address
- 1025 S 2nd St, Delavan, WI 53115
- Phone
- (262) 728-2960
- Fax
- (262) 728-3009
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Delavan, WI
- Aurora Health Center-DelavanCertificate of Waiver, Physician office52D0389118
- Care Atc - AndesCertificate of Waiver, Other52D2086322
- City of Delavan Fire DepartmentCertificate of Waiver, Ambulance52D2133397
- Clifford R Poplar MDCertificate of Waiver, Physician office52D0389111
- Delavan Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0664815
- Lake Delevan Center ICertificate of Waiver, Other52D2349453
- Lake Delevan Center IICertificate of Waiver, Other52D2349454
- Mercy Delavan LaboratoryCertificate of Waiver, Physician office52D0892801
- New Day Women's ClinicCertificate of Waiver, Community clinic52D2176745
- Rosewood Manor LLCCertificate of Waiver, Other52D1007706
Related
Questions
What is the CLIA number for Ridgestone Village LTD in Delavan?
52D1016309, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ridgestone Village LTD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1016309 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.