52D2089545 CLIA NUMBER - BAYCARE CLINIC, LLP

Laboratory Demographics

  • CLIA Code: 52D2089545
  • Facility Name: BAYCARE CLINIC, LLP
  • Facility Address: 2253 W MASON ST, SUITE 100
    GREEN BAY, WI
    ZIP 54307
  • Facility Phone: 920 327-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH T. BERGMANN
  • NPI Number: 1851336242
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D2089545
LAB Type Physician Office
Facility Name BAYCARE CLINIC, LLP
Street 2253 W MASON ST, SUITE 100
City GREEN BAY
State WI
ZIP 54307
Phone 920 327-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director DR. JOSEPH T. BERGMANN

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