CLIA lab
CLIA 52D2110468: Kenosha Retirement LLC
Pleasant Prairie, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2110468 belongs to Kenosha Retirement LLC in Pleasant Prairie, WI.
Certificate of Waiver, effective March 15, 2026, expires March 14, 2028.
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 15, 2026
- Certificate expiration
- March 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2016
- 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
- 52D2110468
- Lab name
- Kenosha Retirement LLC
- Additional name
- DBA Primrose of Pleasant Prairie
- Address
- 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158
- Phone
- (262) 455-7050
- Fax
- (262) 997-1354
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pleasant Prairie, WI
- AdventCertificate of Waiver, Physician office52D2184787
- Aurora Health Care Pleasant PrairieCertificate of Waiver, Physician office52D2299197
- Aurora Health Center - Pleasant PrairieCertificate of Waiver, Physician office52D2348345
- Aurora Surgery Centers LLCCertificate of Waiver, Ambulatory surgery center52D2185543
- Care in the Home WisconsinCertificate of Waiver, Home health agency52D2101804
- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2076925
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2276873
- Froedtert SouthCertificate for Provider-Performed Microscopy Procedures, Physician office52D0882486
- Froedtert South-Froedtert Pleasant PrairieCertificate of Accreditation, Hospital52D1001216
- Grande Prairie Care and Rehab CenterCertificate of Waiver, Skilled nursing or nursing facility52D0977089
Related
Questions
What is the CLIA number for Kenosha Retirement LLC in Pleasant Prairie?
52D2110468, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kenosha Retirement LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2110468 expire?
The CMS file lists March 14, 2028 as the certificate expiration date; the certificate took effect March 15, 2026.