CLIA lab
CLIA 52D1017946: Country Terrace
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1017946 belongs to Country Terrace in Black River Falls, WI.
Certificate of Waiver, effective December 27, 2024, expires December 26, 2026.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- December 27, 2024
- Certificate expiration
- December 26, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Government, state
- 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
- 52D1017946
- Lab name
- Country Terrace
- Address
- 525 E Second St, Black River Falls, WI 54615
- Phone
- (715) 284-2060
- Fax
- (715) 284-2061
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Black River Falls, WI
- Aptiv-Black River Falls Day ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2325030
- Black River Chiropractic ClinicCertificate of Waiver, Other practitioner52D0396357
- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Healthcare Clinic -Certificate of Waiver, Rural health clinic52D2264019
- Black River Memorial Hospital -Certificate of Accreditation, Hospital52D0040042
- Country Terrace of WisconsinCertificate of Waiver, Assisted living facility52D2180820
- Creative Community Living ServicesCertificate of Waiver, Assisted living facility52D2055173
- Creative Community Living Services, IncCertificate of Waiver, Assisted living facility52D2163159
- Creative Community Living Services, Inc-Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2310883
- Footprints in Time Midwifery & Family ServicesCertificate of Waiver, Physician office52D2030978
Related
Questions
What is the CLIA number for Country Terrace in Black River Falls?
52D1017946, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Terrace hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1017946 expire?
The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.