CLIA lab
CLIA 52D2287257: Prohealth Waukesha Memorial Hospital, Inc-
Mukwonago, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2287257 belongs to Prohealth Waukesha Memorial Hospital, Inc- in Mukwonago, WI.
Certificate of Waiver, effective August 11, 2025, expires August 10, 2027.
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 11, 2025
- Certificate expiration
- August 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 2023
- 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
- 52D2287257
- Lab name
- Prohealth Waukesha Memorial Hospital, Inc-
- Additional name
- Mukwonago Women's Services
- Address
- 240 Maple Avenue, Suite 3, Mukwonago, WI 53149
- Phone
- (262) 928-4683
- Fax
- (262) 928-2750
Annual test volume the lab reported
- Waived tests
- 833
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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 Waukesha Memorial Hospital, Inc- in Mukwonago?
52D2287257, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prohealth Waukesha Memorial Hospital, Inc- hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2287257 expire?
The CMS file lists August 10, 2027 as the certificate expiration date; the certificate took effect August 11, 2025.