CLIA lab
CLIA 52D2007277: Prevea Plymouth Family Practice
Plymouth, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2007277 belongs to Prevea Plymouth Family Practice in Plymouth, WI.
Certificate for Provider-Performed Microscopy Procedures, effective May 12, 2026, expires May 11, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- May 12, 2026
- Certificate expiration
- May 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2010
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 52D2007277
- Lab name
- Prevea Plymouth Family Practice
- Address
- 825 Walton Dr, Plymouth, WI 53073
- Phone
- (920) 892-4322
- Fax
- (920) 893-9506
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 100
- Total
- 600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Plymouth, WI
- Advanced EyecareCertificate of Waiver, Physician office52D2249172
- Ahc Plymouth ClinicCertificate of Waiver, Physician office52D2030969
- Anovia Health PlymouthCertificate of Waiver, Community clinic52D2349148
- Plymouth Clinic LabCertificate of Waiver, Physician office52D2316375
- Plymouth Fire Dept Ambulance SquadCertificate of Waiver, Ambulance52D0989948
- Plymouth Health ServicesCertificate of Waiver, Skilled nursing or nursing facility52D1031655
- Plymouth School DistrictCertificate of Waiver, School or student health service52D2226809
- Prevea Health- Lakeland UniversityCertificate of Waiver, School or student health service52D2190573
- Rocky Knoll Health Care FacilityCertificate of Waiver, Skilled nursing or nursing facility52D0039069
- Sargento Health & Wellness CenterCertificate of Waiver, Other52D2139048
Related
Questions
What is the CLIA number for Prevea Plymouth Family Practice in Plymouth?
52D2007277, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prevea Plymouth Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D2007277 expire?
The CMS file lists May 11, 2028 as the certificate expiration date; the certificate took effect May 12, 2026.