CLIA lab
CLIA 52D2054662: Country Terrace of Wisconsin
Tomahawk, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2054662 belongs to Country Terrace of Wisconsin in Tomahawk, WI.
Certificate of Waiver, effective February 26, 2025, expires February 25, 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 26, 2025
- Certificate expiration
- February 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 26, 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
- 52D2054662
- Lab name
- Country Terrace of Wisconsin
- Address
- 300 Theiler Rd, Tomahawk, WI 54487
- Phone
- (715) 224-3701
- Fax
- (715) 224-3703
Annual test volume the lab reported
- Waived tests
- 840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tomahawk, WI
- Aspirus Tomahawk ClinicCertificate of Waiver, Rural health clinic52D0395697
- Aspirus Tomahawk HospitalCertificate of Accreditation, Hospital52D0395696
- Harley Davidson Lifestyle CenterCertificate of Waiver, Other52D2272607
- Harley Davidson Lifestyle CenterCertificate of Waiver, Other52D2272609
- Milestone Senior Living Apartments and SuitesCertificate of Waiver, Assisted living facility52D2101037
- Premise Health of Wisconsin Medical, SCCertificate of Waiver, Physician office52D2250471
- Riverview Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0684252
- Tomahawk Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0395691
Related
Questions
What is the CLIA number for Country Terrace of Wisconsin in Tomahawk?
52D2054662, 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 52D2054662 expire?
The CMS file lists February 25, 2027 as the certificate expiration date; the certificate took effect February 26, 2025.