CLIA lab
CLIA 52D2171153: Legacy of Deforest, the
De Forest, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2171153 belongs to Legacy of Deforest, the in De Forest, WI.
Certificate of Waiver, effective August 27, 2025, expires August 26, 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
- August 27, 2025
- Certificate expiration
- August 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 27, 2019
- 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
- 52D2171153
- Lab name
- Legacy of Deforest, the
- Address
- 6639 Pederson Crossing, De Forest, WI 53532
- Phone
- (608) 807-2888
- Fax
- (715) 256-1390
Annual test volume the lab reported
- Waived tests
- 7,280
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in De Forest, WI
- Badger Care ClinicCertificate of Waiver, Physician office52D2121908
- Deforest Hometown PharmacyCertificate of Waiver, Pharmacy52D2126442
- Essential Family Vision CareCertificate of Waiver, Other practitioner52D2128923
- Keyes & Young Houses/ Fountainhead HomesCertificate of Waiver, Assisted living facility52D2136223
- Koselig House, theCertificate of Waiver, Assisted living facility52D2318160
- Parkside Assisted LivingCertificate of Waiver, Assisted living facility52D2019035
- Rosman/Sosa HouseCertificate of Waiver, Assisted living facility52D2316643
- Unitypoint Health- Meriter- Deforest- WindsorCertificate of Waiver, Physician office52D2026492
- Walgreens #09740Certificate of Waiver, Pharmacy52D2059520
- Weatherly/Rathey HouseCertificate of Waiver, Assisted living facility52D2316641
Related
Questions
What is the CLIA number for Legacy of Deforest, the in De Forest?
52D2171153, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy of Deforest, the hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2171153 expire?
The CMS file lists August 26, 2027 as the certificate expiration date; the certificate took effect August 27, 2025.