CLIA lab
CLIA 52D2190573: Prevea Health- Lakeland University
Plymouth, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2190573 belongs to Prevea Health- Lakeland University in Plymouth, WI.
Certificate of Waiver, effective August 17, 2026, expires August 16, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- August 17, 2026
- Certificate expiration
- August 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 17, 2020
- Facility type
- School or student health service
- Ownership (control type)
- Religious affiliation
- 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
- 52D2190573
- Lab name
- Prevea Health- Lakeland University
- Additional name
- Health and Wellness Center
- Address
- W3745 North Drive, Brotz Hall Health & Counseling, Rm LL21, Plymouth, WI 53073
- Phone
- (920) 565-1034
- Fax
- (920) 272-7846
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 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 Plymouth Family PracticeCertificate for Provider-Performed Microscopy Procedures, Physician office52D2007277
- 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 Health- Lakeland University in Plymouth?
52D2190573, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prevea Health- Lakeland University hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2190573 expire?
The CMS file lists August 16, 2028 as the certificate expiration date; the certificate took effect August 17, 2026.