CLIA lab

CLIA 52D2194184: Park Vista Retirement Living

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

CLIA number 52D2194184 belongs to Park Vista Retirement Living in Waupaca, 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, 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
52D2194184
Lab name
Park Vista Retirement Living
Address
950 Cty Hwy Qq, Waupaca, WI 54981
Phone
(715) 256-0100
Fax
(715) 256-1390

Annual test volume the lab reported

Waived tests
6,120

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

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Related

Questions

What is the CLIA number for Park Vista Retirement Living in Waupaca?

52D2194184, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Park Vista Retirement Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2194184 expire?

The CMS file lists September 28, 2026 as the certificate expiration date; the certificate took effect September 29, 2024.

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