CLIA lab
CLIA 52D2180820: Country Terrace of Wisconsin
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2180820 belongs to Country Terrace of Wisconsin in Black River Falls, WI.
Certificate of Waiver, effective March 20, 2026, expires March 19, 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 20, 2026
- Certificate expiration
- March 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 2020
- 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
- 52D2180820
- Lab name
- Country Terrace of Wisconsin
- Address
- 642 E 3rd Street, Black River Falls, WI 54615
- Phone
- (920) 232-1672
- Fax
- (920) 232-3601
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Black River Falls, WI
- Aptiv-Black River Falls Day ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2325030
- Black River Chiropractic ClinicCertificate of Waiver, Other practitioner52D0396357
- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Healthcare Clinic -Certificate of Waiver, Rural health clinic52D2264019
- Black River Memorial Hospital -Certificate of Accreditation, Hospital52D0040042
- Country TerraceCertificate of Waiver, Assisted living facility52D1017946
- Creative Community Living ServicesCertificate of Waiver, Assisted living facility52D2055173
- Creative Community Living Services, IncCertificate of Waiver, Assisted living facility52D2163159
- Creative Community Living Services, Inc-Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2310883
- Footprints in Time Midwifery & Family ServicesCertificate of Waiver, Physician office52D2030978
Related
Questions
What is the CLIA number for Country Terrace of Wisconsin in Black River Falls?
52D2180820, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Terrace of Wisconsin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2180820 expire?
The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.