CLIA lab
CLIA 52D2269197: Village Pharmacy Ellsworth
Ellsworth, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2269197 belongs to Village Pharmacy Ellsworth in Ellsworth, WI.
Certificate of Waiver, effective September 22, 2026, expires September 21, 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
- September 22, 2026
- Certificate expiration
- September 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 2022
- Facility type
- Pharmacy
- 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
- 52D2269197
- Lab name
- Village Pharmacy Ellsworth
- Address
- 157 E Main St, Ellsworth, WI 54011
- Phone
- (715) 504-3665
- Fax
- (715) 507-3666
Annual test volume the lab reported
- Waived tests
- 240
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ellsworth, WI
- BrooksideCertificate of Waiver, Assisted living facility52D2206116
- Cedar HouseCertificate of Waiver, Assisted living facility52D2200376
- CountrysideCertificate of Waiver, Assisted living facility52D2206122
- Ellsworth Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0670506
- Maple ViewCertificate of Waiver, Assisted living facility52D2206112
- Mayo Clinic Health System EllsworthCertificate of Waiver, Physician office52D0394239
- ParksideCertificate of Waiver, Assisted living facility52D2200410
- Pierce County Jail Health ServicesCertificate of Waiver, Other52D2225272
- Pierce County Public HealthCertificate for Provider-Performed Microscopy Procedures, Public health laboratory52D0662015
- Preferred Senior LivingCertificate of Waiver, Assisted living facility52D2084859
Related
Questions
What is the CLIA number for Village Pharmacy Ellsworth in Ellsworth?
52D2269197, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Village Pharmacy Ellsworth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2269197 expire?
The CMS file lists September 21, 2028 as the certificate expiration date; the certificate took effect September 22, 2026.