CLIA lab
CLIA 52D2119582: Heritage 15, LLC DBA Heritage Lake Country
Hartland, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2119582 belongs to Heritage 15, LLC DBA Heritage Lake Country in Hartland, WI.
Certificate of Waiver, effective September 29, 2024, expiration date September 28, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 29, 2024
- Certificate expiration
- September 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 29, 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
- 52D2119582
- Lab name
- Heritage 15, LLC DBA Heritage Lake Country
- Address
- 2975 Village Sq Dr, Hartland, WI 53029
- Phone
- (262) 367-2975
Annual test volume the lab reported
- Waived tests
- 7,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hartland, WI
- Adava Care of HartlandCertificate of Waiver, Other52D2158021
- Aurora Health Center- HartlandCertificate of Waiver, Physician office52D2164429
- Avid at Home LLCCertificate of Waiver, Home health agency52D2285853
- Gallagher Family MedicineCertificate of Waiver, Physician office52D2153163
- Hartland Fire Dept/RescueCertificate of Waiver, Ambulance52D0992653
- Hartland PlaceCertificate of Waiver, Assisted living facility52D2153156
- Hartland Terrace II LLCCertificate of Waiver, Assisted living facility52D1011994
- Independent Physicians of Wisconsin, LLCCertificate of Waiver, Physician office52D2318894
- Mark Kamsler, MDCertificate of Waiver, Physician office52D2068168
- Ohca Cmco DornerCertificate of Waiver, Industrial52D2344664
Related
Questions
What is the CLIA number for Heritage 15, LLC DBA Heritage Lake Country in Hartland?
52D2119582, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Heritage 15, LLC DBA Heritage Lake Country hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2119582 expire?
The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.