CLIA lab
CLIA 52D2192617: Prohealth Medical Group, Inc -
Mukwonago, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2192617 belongs to Prohealth Medical Group, Inc - in Mukwonago, WI.
Certificate of Waiver, 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 of Waiver
- 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
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2192617
- Lab name
- Prohealth Medical Group, Inc -
- Additional name
- Mukwonago Urgent Care Services
- Address
- 240 Maple Avenue, Mukwonago, WI 53149
- Phone
- (262) 928-1825
- Fax
- (262) 928-4287
Annual test volume the lab reported
- Waived tests
- 6,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mukwonago, WI
- Aurora Health Center- MukwonagoCertificate for Provider-Performed Microscopy Procedures, Physician office52D2162338
- Azura Memory Care & Assisted LivingCertificate of Waiver, Assisted living facility52D2332008
- Azura Memory Care & Assisted LivingCertificate of Waiver, Assisted living facility52D2332009
- Azura Memory Care & Assisted LivingCertificate of Waiver, Assisted living facility52D2332010
- Beber CampCertificate of Waiver, Other52D2219547
- Birchrock CastleCertificate of Waiver, Assisted living facility52D2175806
- Legacy Recovery Center, LLCCertificate of Waiver, Other52D2344649
- Life's Connection Inc - Mukwonago CenterCertificate of Waiver, Other52D2037346
- Lindengrove MukwonagoCertificate of Waiver, Skilled nursing or nursing facility52D0967571
- Mukwonago DialysisCertificate of Waiver, End stage renal disease dialysis facility52D0988765
Related
Questions
What is the CLIA number for Prohealth Medical Group, Inc - in Mukwonago?
52D2192617, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prohealth Medical Group, Inc - hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2192617 expire?
The CMS file lists September 10, 2028 as the certificate expiration date; the certificate took effect September 11, 2026.