CLIA lab
CLIA 52D2196036: Tara Place
Elk Mound, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2196036 belongs to Tara Place in Elk Mound, WI.
Certificate of Waiver, effective October 14, 2026, expires October 13, 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 14, 2026
- Certificate expiration
- October 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 14, 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
- 52D2196036
- Lab name
- Tara Place
- Address
- N 5160 970th Street, Elk Mound, WI 54739
- Phone
- (715) 832-5085
- Fax
- (715) 514-5725
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Tara Place in Elk Mound?
52D2196036, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tara Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2196036 expire?
The CMS file lists October 13, 2028 as the certificate expiration date; the certificate took effect October 14, 2026.