CLIA lab
CLIA 52D2334064: Pine Circle Afh
Fort Atkinson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2334064 belongs to Pine Circle Afh in Fort Atkinson, WI.
Certificate of Waiver, effective November 14, 2025, expires November 13, 2027.
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 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2025
- 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
- 52D2334064
- Lab name
- Pine Circle Afh
- Address
- 503 Nikki Lane, Fort Atkinson, WI 53538
- Phone
- (920) 563-8554
- Fax
- (920) 563-8558
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Black Bear AfhCertificate of Waiver, Assisted living facility52D2274179
- Blue Raven AfhCertificate of Waiver, Assisted living facility52D2018977
- Cedar Hill CbrfCertificate of Waiver, Assisted living facility52D2311787
- Clover Lane AfhCertificate of Waiver, Assisted living facility52D2018976
- Crabapple Court CbrfCertificate of Waiver, Assisted living facility52D2107769
- Falcon's Nest CbrfCertificate of Waiver, Assisted living facility52D2018975
- Fort Atkinson DialysisCertificate of Waiver, End stage renal disease dialysis facility52D0988777
- Fort Atkinson FD Rescue SquadCertificate of Waiver, Ambulance52D2147494
Related
Questions
What is the CLIA number for Pine Circle Afh in Fort Atkinson?
52D2334064, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine Circle Afh hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2334064 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.