52D0662045 CLIA NUMBER - BROWN COUNTY COMMUNITY TREATMENT CENTER

Laboratory Demographics

CLIA Code: 52D0662045
Facility Name: BROWN COUNTY COMMUNITY TREATMENT CENTER
Facility Address: 3150 GERSHWIN DR
GREEN BAY, WI
ZIP 54311
Facility Phone: 920 391-4804
Facility Type: Other - COUNTY CLINIC
Facility Type: Waiver
Lab Director: SAMANTHA BEHLING
NPI Number: 1144325267
Taxonomy: 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Map and Directions

Get Directions

CLIA Record

Field Name	Field Value
CLIA Number	52D0662045
LAB Type	Other - COUNTY CLINIC
Facility Name	BROWN COUNTY COMMUNITY TREATMENT CENTER
Street	3150 GERSHWIN DR
City	GREEN BAY
State	WI
ZIP	54311
Phone	920 391-4804
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/1/2024
Certificate Expiration Date	4/30/2026
Facility Type	Other - COUNTY CLINIC
Lab Director	SAMANTHA BEHLING

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025