CLIA lab
CLIA 52D2310883: Creative Community Living Services, Inc-
Black River Falls, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2310883 belongs to Creative Community Living Services, Inc- in Black River Falls, WI.
Certificate of Waiver, effective September 12, 2026, expires September 11, 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 12, 2026
- Certificate expiration
- September 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 12, 2024
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2310883
- Lab name
- Creative Community Living Services, Inc-
- Additional name
- Black River Falls
- Address
- 323 South 2nd Street, Black River Falls, WI 54615
- Phone
- (920) 261-1345
Annual test volume the lab reported
- Waived tests
- 2,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Black River Falls, WI
- Aptiv-Black River Falls Day ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities52D2325030
- Black River Chiropractic ClinicCertificate of Waiver, Other practitioner52D0396357
- Black River Falls EMSCertificate of Waiver, Ambulance52D0983780
- Black River Healthcare Clinic -Certificate of Waiver, Rural health clinic52D2264019
- 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
- Footprints in Time Midwifery & Family ServicesCertificate of Waiver, Physician office52D2030978
Related
Questions
What is the CLIA number for Creative Community Living Services, Inc- in Black River Falls?
52D2310883, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Creative Community Living Services, Inc- hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2310883 expire?
The CMS file lists September 11, 2028 as the certificate expiration date; the certificate took effect September 12, 2026.