52D0394540 CLIA NUMBER - BELLIN HEALTH OCONTO FALLS

Laboratory Demographics

  • CLIA Code: 52D0394540
  • Facility Name: BELLIN HEALTH OCONTO FALLS
  • Facility Address: 107 E HIGHLAND DR
    OCONTO FALLS, WI
    ZIP 54154
  • Facility Phone: 920 846-3092
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JAMES W. GAST
  • NPI Number: 1063038313
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0394540
LAB Type Physician Office
Facility Name BELLIN HEALTH OCONTO FALLS
Street 107 E HIGHLAND DR
City OCONTO FALLS
State WI
ZIP 54154
Phone 920 846-3092
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Physician Office
Lab Director DR. JAMES W. GAST

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