CLIA lab
CLIA 52D2195196: Riverside Lodge
Dousman, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2195196 belongs to Riverside Lodge in Dousman, WI.
Certificate of Waiver, effective October 7, 2026, expires October 6, 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
- October 7, 2026
- Certificate expiration
- October 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 52D2195196
- Lab name
- Riverside Lodge
- Address
- 410 N Main Street, Dousman, WI 53118
- Phone
- (262) 965-7397
- Fax
- (262) 965-7374
Annual test volume the lab reported
- Waived tests
- 500
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 Riverside Lodge in Dousman?
52D2195196, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverside Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2195196 expire?
The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.