CLIA lab

CLIA 52D2121012: Professional Services Group - West Bend

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

CLIA number 52D2121012 belongs to Professional Services Group - West Bend in West Bend, WI.

Certificate of Waiver, effective October 28, 2024, expires October 27, 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 of Waiver
Certificate effective
October 28, 2024
Certificate expiration
October 27, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2016
Facility type
Other
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
52D2121012
Lab name
Professional Services Group - West Bend
Address
724 Elm St, West Bend, WI 53095
Phone
(262) 353-9701
Fax
(414) 476-8695

Annual test volume the lab reported

Waived tests
150

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

Other labs in West Bend, WI

Related

Questions

What is the CLIA number for Professional Services Group - West Bend in West Bend?

52D2121012, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Professional Services Group - West Bend hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2121012 expire?

The CMS file lists October 27, 2026 as the certificate expiration date; the certificate took effect October 28, 2024.

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