CLIA lab
CLIA 52D2026846: Prairie Ridge Assisted Living (Cbrf)
Waupun, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2026846 belongs to Prairie Ridge Assisted Living (Cbrf) in Waupun, WI.
Certificate of Waiver, effective June 11, 2026, expires June 10, 2028.
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 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 12, 2011
- 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
- 52D2026846
- Lab name
- Prairie Ridge Assisted Living (Cbrf)
- Address
- 819 Wilcox St, Waupun, WI 53963
- Phone
- (920) 324-5450
- Fax
- (920) 324-5470
Annual test volume the lab reported
- Waived tests
- 1,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Waupun, WI
- Christian Living HomeCertificate of Waiver, Assisted living facility52D2324805
- Christian Senior LivingCertificate of Waiver, Assisted living facility52D2324808
- Complete Care at Christian HomeCertificate of Waiver, Skilled nursing or nursing facility52D0673255
- Mmc-Beaver Dam Waupun Eye ClinicCertificate of Waiver, Physician office52D2090123
- New Medical CenterCertificate of Waiver, Physician office52D2269416
- Prairie Ridge Assisted Living (Rcac)Certificate of Waiver, Assisted living facility52D2026844
- SSM Health Laboratories Waupun Memorial HospitalCertificate of Accreditation, Independent52D0671036
- SSM Health at Work-Waupun Employee Wellness ClinicCertificate of Waiver, Physician office52D2295259
- Waupun Area School DistrictCertificate of Waiver, School or student health service52D2222451
- Waupun Memorial Hospital NursingCertificate of Waiver, Ancillary test site52D0869907
Related
Questions
What is the CLIA number for Prairie Ridge Assisted Living (Cbrf) in Waupun?
52D2026846, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Ridge Assisted Living (Cbrf) hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2026846 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.