CLIA lab

CLIA 52D1068446: Heartland House

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

CLIA number 52D1068446 belongs to Heartland House in Wautoma, WI.

Certificate of Waiver, effective May 11, 2025, expires May 10, 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 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 11, 2007
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
52D1068446
Lab name
Heartland House
Address
668 W Cummings Rd, Wautoma, WI 54982
Phone
(920) 787-2467
Fax
(920) 787-5827

Annual test volume the lab reported

Waived tests
1,400

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

Other labs in Wautoma, WI

Related

Questions

What is the CLIA number for Heartland House in Wautoma?

52D1068446, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heartland House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1068446 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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