CLIA lab
CLIA 52D2069408: Lake Hallie Memory Care
Chippewa Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2069408 belongs to Lake Hallie Memory Care in Chippewa Falls, WI.
Certificate of Waiver, effective November 25, 2025, expires November 24, 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
- November 25, 2025
- Certificate expiration
- November 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 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
- 52D2069408
- Lab name
- Lake Hallie Memory Care
- Address
- 4407 124th St, Chippewa Falls, WI 54729
- Phone
- (715) 738-0011
- Fax
- (715) 726-8574
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chippewa Falls, WI
- Aspirus Chippewa Falls HospitalCertificate of Registration, Hospital52D2344784
- CF RcacCertificate of Waiver, Assisted living facility52D2057454
- Cardinal Healthy Primary Care By Reformedicine SCCertificate of Waiver, Physician office52D2133391
- Chippewa County Dept of Public HealthCertificate for Provider-Performed Microscopy Procedures, Public health laboratory52D0675739
- Chippewa County JailCertificate of Waiver, Other52D0869821
- Chippewa Falls Fire & EMS DeptCertificate of Waiver, Ambulance52D0721278
- Chippewa Fire DistrictCertificate of Waiver, Ambulance52D0981993
- Chippewa Manor Nursing Home CorpCertificate of Waiver, Skilled nursing or nursing facility52D0396759
- Chippewa Manor Residential Living CorpCertificate of Waiver, Other52D1068250
- Chippewa Valley VA OpcCertificate of Accreditation, Community clinic52D1016449
Related
Questions
What is the CLIA number for Lake Hallie Memory Care in Chippewa Falls?
52D2069408, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Hallie Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2069408 expire?
The CMS file lists November 24, 2027 as the certificate expiration date; the certificate took effect November 25, 2025.