CLIA lab

CLIA 52D2093179: Prader-Willi Homes of Oconomowoc Health Services

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

CLIA number 52D2093179 belongs to Prader-Willi Homes of Oconomowoc Health Services in Oconomowoc, WI.

Certificate of Waiver, effective March 23, 2025, expires March 22, 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
March 23, 2025
Certificate expiration
March 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 23, 2015
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
52D2093179
Lab name
Prader-Willi Homes of Oconomowoc Health Services
Address
1746 Executive Dr, Oconomowoc, WI 53066
Phone
(262) 569-5515
Fax
(262) 569-3733

Annual test volume the lab reported

Waived tests
250

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 Prader-Willi Homes of Oconomowoc Health Services in Oconomowoc?

52D2093179, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prader-Willi Homes of Oconomowoc Health Services hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2093179 expire?

The CMS file lists March 22, 2027 as the certificate expiration date; the certificate took effect March 23, 2025.

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