CLIA lab
CLIA 52D2125221: Prohealth Oconomowoc Memorial Hospital, Inc-
Oconomowoc, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2125221 belongs to Prohealth Oconomowoc Memorial Hospital, Inc- in Oconomowoc, WI.
Certificate of Waiver, effective February 2, 2025, expires February 1, 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
- February 2, 2025
- Certificate expiration
- February 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2017
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 52D2125221
- Lab name
- Prohealth Oconomowoc Memorial Hospital, Inc-
- Additional name
- Interventional Pain Management Services
- Address
- 1185 Corporate Center Dr, Suite 240, Oconomowoc, WI 53066
- Phone
- (262) 928-7312
- Fax
- (262) 928-8809
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Oconomowoc, WI
- AdventCertificate of Waiver, Physician office52D2184780
- Allegiance Medical, SCCertificate of Waiver, Physician office52D2328858
- Aurora Wilkinson Medical Clinic UrgentCertificate of Waiver, Physician office52D2000602
- Dimensions Living OconomowocCertificate of Waiver, Assisted living facility52D2117984
- Everside Health, Llc-Oconomowoc Sentry EquipmentCertificate of Waiver, Physician office52D2149235
- Forefront Dermatology, SCCertificate of Compliance, Physician office52D2108034
- Lake Area Free ClinicCertificate of Waiver, Community clinic52D0987626
- Lake Country Endoscopy CenterCertificate of Waiver, Ambulatory surgery center52D1090159
- Lake Country Pediatrics, SCCertificate of Waiver, Physician office52D0937038
- Lutheran Homes of OconomowocCertificate of Waiver, Skilled nursing or nursing facility52D0674743
Related
Questions
What is the CLIA number for Prohealth Oconomowoc Memorial Hospital, Inc- in Oconomowoc?
52D2125221, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prohealth Oconomowoc Memorial Hospital, Inc- hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2125221 expire?
The CMS file lists February 1, 2027 as the certificate expiration date; the certificate took effect February 2, 2025.