CLIA lab
CLIA 52D2192614: Prohealth Medical Group, Inc - Waterford
Waterford, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2192614 belongs to Prohealth Medical Group, Inc - Waterford in Waterford, WI.
Certificate for Provider-Performed Microscopy Procedures, effective September 11, 2026, expires September 10, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- September 11, 2026
- Certificate expiration
- September 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2020
- 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
- 52D2192614
- Lab name
- Prohealth Medical Group, Inc - Waterford
- Address
- 808 Cornerstone Ct, Waterford, WI 53185
- Phone
- (262) 928-1977
- Fax
- (262) 928-9171
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 25
- Total
- 1,025
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Lakeview Critical Care, EMSCertificate of Waiver, Ambulance52D2060050
- Lakeview Specialty Hospital & RehabCertificate of Compliance, Hospital52D0721195
- Personally Yours Elder Care A, LLCCertificate of Waiver, Assisted living facility52D2108044
- Personally Yours Elder Care, LLCCertificate of Waiver, Assisted living facility52D2108043
- Personally Yours Elder Care-B, LLCCertificate of Waiver, Assisted living facility52D2108046
Related
Questions
What is the CLIA number for Prohealth Medical Group, Inc - Waterford in Waterford?
52D2192614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prohealth Medical Group, Inc - Waterford hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D2192614 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.