CLIA lab

CLIA 52D2117253: Pine Valley Assisted Living

Richland Center, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D2117253 belongs to Pine Valley Assisted Living in Richland Center, WI.

Certificate of Waiver, effective August 12, 2026, expires August 11, 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
August 12, 2026
Certificate expiration
August 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 2016
Facility type
Assisted living facility
Ownership (control type)
Government, county
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
52D2117253
Lab name
Pine Valley Assisted Living
Address
25951 Circle View Ln, Richland Center, WI 53581
Phone
(608) 547-2138
Fax
(608) 647-8955

Annual test volume the lab reported

Waived tests
156

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Richland Center, WI

Related

Questions

What is the CLIA number for Pine Valley Assisted Living in Richland Center?

52D2117253, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pine Valley Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2117253 expire?

The CMS file lists August 11, 2028 as the certificate expiration date; the certificate took effect August 12, 2026.

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