CLIA lab
CLIA 52D1017759: Ksms Our House, LLC Portage Assisted Care
Portage, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1017759 belongs to Ksms Our House, LLC Portage Assisted Care in Portage, WI.
Certificate of Waiver, effective May 30, 2025, expires May 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
- May 30, 2025
- Certificate expiration
- May 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 3, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 18
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D1017759
- Lab name
- Ksms Our House, LLC Portage Assisted Care
- Address
- 2876 Village Rd, Portage, WI 53901
- Phone
- (608) 745-0330
- Fax
- (608) 742-4626
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.
Affiliated CLIA numbers
Other labs in Portage, WI
- Aspirus Divine Savior ClinicsCertificate of Waiver, Rural health clinic52D0879528
- Aspirus Divine Savior Hospital & ClinicsCertificate of Accreditation, Hospital52D0662006
- Columbia County Division of HealthCertificate of Waiver, Public health laboratory52D0669954
- Columbia County JailCertificate of Waiver, Other52D1077279
- Community Service Associates, SCCertificate of Waiver, Physician office52D2044509
- Hamilton Park Place Assisted Living FacilityCertificate of Waiver, Assisted living facility52D2206718
- Heritage House of PortageCertificate of Waiver, Assisted living facility52D1070390
- Klarcare, LLCCertificate of Waiver, Physician office52D2265465
- Ksms Our House, LLC Portage RcacCertificate of Waiver, Assisted living facility52D1090480
- Milliken - Portage Health CenterCertificate of Waiver, Other52D2324541
Related
Questions
What is the CLIA number for Ksms Our House, LLC Portage Assisted Care in Portage?
52D1017759, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ksms Our House, LLC Portage Assisted Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1017759 expire?
The CMS file lists May 29, 2027 as the certificate expiration date; the certificate took effect May 30, 2025.