CLIA lab

CLIA 52D1016891: Larson House Platinum

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

CLIA number 52D1016891 belongs to Larson House Platinum in Columbus, WI.

Certificate of Waiver, effective January 21, 2025, expires January 20, 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
January 21, 2025
Certificate expiration
January 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2003
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
52D1016891
Lab name
Larson House Platinum
Address
550 River Rd, Columbus, WI 53925
Phone
(920) 623-5253
Fax
(920) 623-5255

Annual test volume the lab reported

Waived tests
365

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

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Related

Questions

What is the CLIA number for Larson House Platinum in Columbus?

52D1016891, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Larson House Platinum hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1016891 expire?

The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.

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