52D1053145 CLIA NUMBER - BAYCARE CLINIC, LLP

Laboratory Demographics

  • CLIA Code: 52D1053145
  • Facility Name: BAYCARE CLINIC, LLP
  • Facility Address: 1111 BAYSHORE DR
    MANITOWOC, WI
    ZIP 54220
  • Facility Phone: (920) 682-6376
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARL A. DIRAIMONDO
  • NPI Number: 1033201785
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 52D1053145
LAB Type Physician Office
Facility Name BAYCARE CLINIC, LLP
Street 1111 BAYSHORE DR
City MANITOWOC
State WI
ZIP 54220
Phone 9206826376
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2026
Certificate Expiration Date 4/13/2028
Facility Type Physician Office
Lab Director DR. CARL A. DIRAIMONDO

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This page was last updated on: 5/18/2026