52D2291637 CLIA NUMBER - PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC - WOMEN'S SERVICES

Laboratory Demographics

  • CLIA Code: 52D2291637
  • Facility Name: PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC - WOMEN'S SERVICES
  • Facility Address: 725 AMERICAN AVENUE 3RD FLOOR
    WAUKESHA, WI
    ZIP 53188
  • Facility Phone: 262 928-4683
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. KATHERINE R. STEVENSON
  • NPI Number: 1053562959
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D2291637
LAB Type Hospital
Facility Name PROHEALTH WAUKESHA MEMORIAL HOSPITAL, INC - WOMEN'S SERVICES
Street 725 AMERICAN AVENUE 3RD FLOOR
City WAUKESHA
State WI
ZIP 53188
Phone 262 928-4683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Hospital
Lab Director DR. KATHERINE R. STEVENSON

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This page was last updated on: 9/29/2025