CLIA lab
CLIA 52D0886179: Watertown Regional Medical Center
Lake Mills, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0886179 belongs to Watertown Regional Medical Center in Lake Mills, WI.
Certificate of Waiver, effective May 16, 2026, expires May 15, 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
- May 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 14, 1994
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0886179
- Lab name
- Watertown Regional Medical Center
- Additional name
- Lake Mills Clinic
- Address
- 1025 Mulberry St, Lake Mills, WI 53551
- Phone
- (920) 648-4518
- Fax
- (920) 648-1623
Annual test volume the lab reported
- Waived tests
- 93
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Mills, WI
- Brook GardensCertificate of Waiver, Assisted living facility52D1028849
- Lake Mills Chiropractic, LLCCertificate of Waiver, Other practitioner52D2059519
- Lake Mills Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D0856917
- Lilac Springs Assisted LivingCertificate of Waiver, Assisted living facility52D2095208
- Walgreens #11176Certificate of Waiver, Pharmacy52D2219851
Related
Questions
What is the CLIA number for Watertown Regional Medical Center in Lake Mills?
52D0886179, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Watertown Regional Medical Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0886179 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.