CLIA lab

CLIA 52D2026922: Prairie Homes Assisted Living

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

CLIA number 52D2026922 belongs to Prairie Homes Assisted Living in Menasha, WI.

Certificate of Waiver, effective September 29, 2026, expires September 28, 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
September 29, 2026
Certificate expiration
September 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 13, 2011
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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

Lab and contact

CLIA number
52D2026922
Lab name
Prairie Homes Assisted Living
Address
1461 Kenwood Dr, Menasha, WI 54952
Phone
(920) 886-0524
Fax
(920) 886-0542

Annual test volume the lab reported

Waived tests
1,500

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

Affiliated CLIA numbers

Other labs in Menasha, WI

Related

Questions

What is the CLIA number for Prairie Homes Assisted Living in Menasha?

52D2026922, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prairie Homes Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2026922 expire?

The CMS file lists September 28, 2028 as the certificate expiration date; the certificate took effect September 29, 2026.

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