CLIA lab
CLIA 52D2114560: Country Villa Assisted Living in Pulaski Inc
Pulaski, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2114560 belongs to Country Villa Assisted Living in Pulaski Inc in Pulaski, WI.
Certificate of Waiver, effective June 16, 2026, expires June 15, 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
- June 16, 2026
- Certificate expiration
- June 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 16, 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
- 52D2114560
- Lab name
- Country Villa Assisted Living in Pulaski Inc
- Address
- 830 Crest Drive, Pulaski, WI 54162
- Phone
- (920) 822-2040
- Fax
- (920) 822-2048
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pulaski, WI
Related
Questions
What is the CLIA number for Country Villa Assisted Living in Pulaski Inc in Pulaski?
52D2114560, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Villa Assisted Living in Pulaski Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2114560 expire?
The CMS file lists June 15, 2028 as the certificate expiration date; the certificate took effect June 16, 2026.