CLIA lab
CLIA 52D1103979: Lake Country Health Services
Summit, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D1103979 belongs to Lake Country Health Services in Summit, WI.
Certificate of Waiver, effective August 21, 2025, expires August 20, 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
- August 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2009
- Facility type
- Skilled nursing or nursing 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
- 52D1103979
- Lab name
- Lake Country Health Services
- Address
- 2195 N Summit Village Way, Summit, WI 53066
- Phone
- (262) 560-2400
- Fax
- (262) 567-4714
Annual test volume the lab reported
- Waived tests
- 22,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Lake Country Health ServicesCMS Care Compare ratings for the facility at the same street address
Other labs in Summit, WI
Related
Questions
What is the CLIA number for Lake Country Health Services in Summit?
52D1103979, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Country Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D1103979 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.