CLIA lab
CLIA 52D2093166: Ksms Our House, LLC Wisconsin Dells Memory Care
Wisconsin Dells, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2093166 belongs to Ksms Our House, LLC Wisconsin Dells Memory Care in Wisconsin Dells, WI.
Certificate of Waiver, effective March 23, 2025, expires March 22, 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
- March 23, 2025
- Certificate expiration
- March 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 23, 2015
- 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
- 52D2093166
- Lab name
- Ksms Our House, LLC Wisconsin Dells Memory Care
- Address
- 1950 State Road 23, Wisconsin Dells, WI 53965
- Phone
- (608) 253-7901
- Fax
- (608) 753-7822
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Delton Family Medical CenterCertificate of Accreditation, Community clinic52D1020586
- Easterseals Wisconsin CampsCertificate of Waiver, Other52D2211689
- Ksms Our House, LLC Wisconsin Dells Assisted CareCertificate of Waiver, Assisted living facility52D1035932
- Lake Delton DialysisCertificate of Waiver, End stage renal disease dialysis facility52D2112431
- Riverwood Senior Living-Eagles NestCertificate of Waiver, Assisted living facility52D2200076
- SSM Health Dean Medical Group - Wisconsin DellsCertificate of Compliance, Physician office52D0394199
- ST Clare Urgent Care - Lake DeltonCertificate of Waiver, Other52D0960078
- Walgreens #06885Certificate of Waiver, Pharmacy52D2015377
- Walmart Pharmacy 10-3505Certificate of Waiver, Pharmacy52D2257127
- Wisconsin Dells Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0670336
Related
Questions
What is the CLIA number for Ksms Our House, LLC Wisconsin Dells Memory Care in Wisconsin Dells?
52D2093166, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ksms Our House, LLC Wisconsin Dells Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2093166 expire?
The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.