CLIA lab
CLIA 52D2195222: Maranatha Baptist Univ Science Lab
Watertown, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2195222 belongs to Maranatha Baptist Univ Science Lab in Watertown, WI.
Certificate of Waiver, effective October 7, 2024, expiration date October 6, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 7, 2024
- Certificate expiration
- October 6, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 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
- 52D2195222
- Lab name
- Maranatha Baptist Univ Science Lab
- Address
- 745 West Main St, Watertown, WI 53094
- Phone
- (920) 261-9300
- Fax
- (920) 261-9109
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Prohealth Medical Group, Inc - WatertownCertificate for Provider-Performed Microscopy Procedures, Physician office52D0892442
- Richard E Neils MDCertificate for Provider-Performed Microscopy Procedures, Physician office52D0388891
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Related
Questions
What is the CLIA number for Maranatha Baptist Univ Science Lab in Watertown?
52D2195222, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maranatha Baptist Univ Science Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2195222 expire?
The CMS file lists October 6, 2026 as the certificate expiration date; the certificate took effect October 7, 2024.