CLIA lab

CLIA 52D1070390: Heritage House of Portage

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

CLIA number 52D1070390 belongs to Heritage House of Portage in Portage, WI.

Certificate of Waiver, effective June 27, 2025, expires June 26, 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
June 27, 2025
Certificate expiration
June 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 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
52D1070390
Lab name
Heritage House of Portage
Address
2685 Airport Rd, Portage, WI 53901
Phone
(608) 745-3312
Fax
(608) 745-6775

Annual test volume the lab reported

Waived tests
50,000

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

Other labs in Portage, WI

Related

Questions

What is the CLIA number for Heritage House of Portage in Portage?

52D1070390, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Heritage House of Portage hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1070390 expire?

The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.

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