CLIA lab
CLIA 52D2314647: Liberty Village of Tomah
Tomah, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2314647 belongs to Liberty Village of Tomah in Tomah, WI.
Certificate of Waiver, effective November 25, 2024, expires November 24, 2026.
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
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 2024
- 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
- 52D2314647
- Lab name
- Liberty Village of Tomah
- Address
- 200 Liberty Place, Tomah, WI 54660
- Phone
- (608) 374-5005
- Fax
- (608) 374-5006
Annual test volume the lab reported
- Waived tests
- 6,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Tomah, WI
- Close To Home IncCertificate of Waiver, Other52D0959434
- Greenfield House, theCertificate of Waiver, Assisted living facility52D2203586
- Gundersen Health System Tomah ClinicCertificate of Compliance, Physician office52D0396462
- Mayo Clinic Health System in TomahCertificate of Accreditation, Physician office52D0396470
- Medcor Clinic at Toro - Tomah, WiCertificate of Waiver, Industrial52D2308598
- Our Town TomahCertificate of Waiver, Assisted living facility52D2263346
- Tomah Area Ambulance ServiceCertificate of Waiver, Ambulance52D0996548
- Tomah HealthCertificate of Accreditation, Health maintenance organization52D0396474
- Tomah Health-Serenity House LabCertificate of Waiver, Hospice52D2024620
- Tomah Nursing and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility52D0396473
Related
Questions
What is the CLIA number for Liberty Village of Tomah in Tomah?
52D2314647, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Village of Tomah hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2314647 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.