CLIA lab

CLIA 52D1073549: Ridgestone Terrace, LLC

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

CLIA number 52D1073549 belongs to Ridgestone Terrace, LLC in Elkhorn, WI.

Certificate of Waiver, effective September 11, 2025, expires September 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
September 11, 2025
Certificate expiration
September 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 11, 2007
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D1073549
Lab name
Ridgestone Terrace, LLC
Address
291 W Evergreen Parkway, Elkhorn, WI 53121
Phone
(262) 743-2960
Fax
(262) 743-1065

Annual test volume the lab reported

Waived tests
104

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

Affiliated CLIA numbers

Other labs in Elkhorn, WI

Related

Questions

What is the CLIA number for Ridgestone Terrace, LLC in Elkhorn?

52D1073549, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ridgestone Terrace, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1073549 expire?

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

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