CLIA lab

CLIA 52D2053951: Country Terrace of Wisconsin

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

CLIA number 52D2053951 belongs to Country Terrace of Wisconsin in Minocqua, WI.

Certificate of Waiver, effective February 11, 2025, expires February 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
February 11, 2025
Certificate expiration
February 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 11, 2013
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
52D2053951
Lab name
Country Terrace of Wisconsin
Address
8730 Packing Plant Rd, Minocqua, WI 54548
Phone
(920) 232-1672
Fax
(920) 232-3601

Annual test volume the lab reported

Waived tests
2,184

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

Other labs in Minocqua, WI

Related

Questions

What is the CLIA number for Country Terrace of Wisconsin in Minocqua?

52D2053951, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Country Terrace of Wisconsin hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2053951 expire?

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

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