CLIA lab

CLIA 52D2188934: Prohealth Oconomowoc Memorial Inc -

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

CLIA number 52D2188934 belongs to Prohealth Oconomowoc Memorial Inc - in Oconomowoc, WI.

Certificate of Waiver, effective July 23, 2026, expires July 22, 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 Waiver
Certificate effective
July 23, 2026
Certificate expiration
July 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 23, 2020
Facility type
Hospital
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
52D2188934
Lab name
Prohealth Oconomowoc Memorial Inc -
Additional name
Cardiopulmonary Rehab
Address
1185 Corporate Center Drive Suite 350, Oconomowoc, WI 53066
Phone
(262) 928-3888
Fax
(262) 928-3894

Annual test volume the lab reported

Waived tests
500

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

Other labs in Oconomowoc, WI

Related

Questions

What is the CLIA number for Prohealth Oconomowoc Memorial Inc - in Oconomowoc?

52D2188934, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prohealth Oconomowoc Memorial Inc - hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D2188934 expire?

The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.

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