CLIA lab

CLIA 52D1034616: Prohealth Waukesha Memorial Hospital,inc-Mukwonago

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

CLIA number 52D1034616 belongs to Prohealth Waukesha Memorial Hospital,inc-Mukwonago in Mukwonago, WI.

Certificate of Accreditation, effective January 30, 2026, expires January 29, 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 Accreditation
Certificate effective
January 30, 2026
Certificate expiration
January 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 7, 2004
Facility type
Other
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
College of American Pathologists (CAP)

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D1034616
Lab name
Prohealth Waukesha Memorial Hospital,inc-Mukwonago
Address
240 Maple Ave, Mukwonago, WI 53149
Phone
(262) 928-2105
Fax
(262) 928-7962

Annual test volume the lab reported

Waived tests
3,000
Tests under accreditation
550,168
Total
553,168

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 Waukesha Memorial Hospital,inc-Mukwonago in Mukwonago?

52D1034616, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Waukesha Memorial Hospital,inc-Mukwonago hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 52D1034616 expire?

The CMS file lists January 29, 2028 as the certificate expiration date; the certificate took effect January 30, 2026.

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