52D0938062 CLIA NUMBER - CARDIOLOGY ASSOCIATES OF BELLIN HEALTH

Laboratory Demographics

  • CLIA Code: 52D0938062
  • Facility Name: CARDIOLOGY ASSOCIATES OF BELLIN HEALTH
  • Facility Address: 744 S WEBSTER AVE
    GREEN BAY, WI
    ZIP 54301
  • Facility Phone: 920 433-3640
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES E. RIDER
  • NPI Number: 1467771535
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 52D0938062
LAB Type Physician Office
Facility Name CARDIOLOGY ASSOCIATES OF BELLIN HEALTH
Street 744 S WEBSTER AVE
City GREEN BAY
State WI
ZIP 54301
Phone 920 433-3640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Physician Office
Lab Director DR. JAMES E. RIDER

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