CLIA lab

CLIA 52D2049678: Pleasant Valley Seniors

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

CLIA number 52D2049678 belongs to Pleasant Valley Seniors in Stoddard, WI.

Certificate of Waiver, effective November 9, 2024, expires November 8, 2026.

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
November 9, 2024
Certificate expiration
November 8, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2012
Facility type
Assisted living facility
Ownership (control type)
Private
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
52D2049678
Lab name
Pleasant Valley Seniors
Address
W466 County Rd K, Stoddard, WI 54658
Phone
(608) 787-6384
Fax
(608) 787-0622

Annual test volume the lab reported

Waived tests
4,000

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

Related

Questions

What is the CLIA number for Pleasant Valley Seniors in Stoddard?

52D2049678, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pleasant Valley Seniors hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2049678 expire?

The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.

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