CLIA lab
CLIA 52D2264019: Black River Healthcare Clinic -
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2264019 belongs to Black River Healthcare Clinic - in Black River Falls, WI.
Certificate of Waiver, effective July 8, 2026, expires July 7, 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
- July 8, 2026
- Certificate expiration
- July 7, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 8, 2022
- Facility type
- Rural health clinic
- 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
- 52D2264019
- Lab name
- Black River Healthcare Clinic -
- Additional name
- Black River Health, Inc
- Address
- 711 W Adams St, Black River Falls, WI 54615
- Phone
- (715) 284-3223
- Fax
- (715) 284-3920
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Memorial Hospital -Certificate of Accreditation, Hospital52D0040042
- Country TerraceCertificate of Waiver, Assisted living facility52D1017946
- Country Terrace of WisconsinCertificate of Waiver, Assisted living facility52D2180820
- 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 Black River Healthcare Clinic - in Black River Falls?
52D2264019, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black River Healthcare Clinic - hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2264019 expire?
The CMS file lists July 7, 2028 as the certificate expiration date; the certificate took effect July 8, 2026.