CLIA lab
CLIA 52D2055431: Lake Halle Dialysis
Lake Hallie, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2055431 belongs to Lake Halle Dialysis in Lake Hallie, WI.
Certificate of Waiver, effective March 12, 2025, expires March 11, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 12, 2025
- Certificate expiration
- March 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2013
- Facility type
- End stage renal disease dialysis 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
- 52D2055431
- Lab name
- Lake Halle Dialysis
- Address
- 3636 E Melby St, Lake Hallie, WI 54729
- Phone
- (715) 833-8512
- Fax
- (715) 833-8534
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Lake Hallie DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Lake Hallie, WI
Related
Questions
What is the CLIA number for Lake Halle Dialysis in Lake Hallie?
52D2055431, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Halle Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2055431 expire?
The CMS file lists March 11, 2027 as the certificate expiration date; the certificate took effect March 12, 2025.