CLIA lab

CLIA 52D1019661: Wisconsin Veterans Home-Union Grove

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

CLIA number 52D1019661 belongs to Wisconsin Veterans Home-Union Grove in Union Grove, WI.

Certificate of Waiver, effective November 24, 2025, expires November 23, 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
November 24, 2025
Certificate expiration
November 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 24, 2003
Facility type
Skilled nursing or nursing 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
52D1019661
Lab name
Wisconsin Veterans Home-Union Grove
Address
Boland Hall, 21425 Spring St, Union Grove, WI 53182
Phone
(262) 878-5668
Fax
(262) 878-5671

Annual test volume the lab reported

Waived tests
360

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

Other labs in Union Grove, WI

Related

Questions

What is the CLIA number for Wisconsin Veterans Home-Union Grove in Union Grove?

52D1019661, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wisconsin Veterans Home-Union Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1019661 expire?

The CMS file lists November 23, 2027 as the certificate expiration date; the certificate took effect November 24, 2025.

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