CLIA lab

CLIA 52D0892442: Prohealth Medical Group, Inc - Watertown

Watertown, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0892442 belongs to Prohealth Medical Group, Inc - Watertown in Watertown, WI.

Certificate for Provider-Performed Microscopy Procedures, effective November 15, 2024, expires November 14, 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 for Provider-Performed Microscopy Procedures
Certificate effective
November 15, 2024
Certificate expiration
November 14, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 29, 1994
Facility type
Physician office
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
52D0892442
Lab name
Prohealth Medical Group, Inc - Watertown
Address
109 Air Park Dr, Watertown, WI 53094
Phone
(920) 262-7444

Annual test volume the lab reported

Waived tests
2,800
Provider-performed microscopy tests
22,600
Total
25,400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Prohealth Medical Group, Inc - Watertown in Watertown?

52D0892442, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Medical Group, Inc - Watertown hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 52D0892442 expire?

The CMS file lists November 14, 2026 as the certificate expiration date; the certificate took effect November 15, 2024.

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