52D2113830 CLIA NUMBER - BAYCARE CLINIC, LLP

Laboratory Demographics

  • CLIA Code: 52D2113830
  • Facility Name: BAYCARE CLINIC, LLP
  • Facility Address: 1400 UNIVERSITY DR
    MARINETTE, WI
    ZIP 54143
  • Facility Phone: 920 490-9046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOSEPH T. BERGMANN
  • NPI Number: 1033867213
  • Taxonomy: 207Y00000X - Otolaryngology

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CLIA Record

Field Name Field Value
CLIA Number 52D2113830
LAB Type Physician Office
Facility Name BAYCARE CLINIC, LLP
Street 1400 UNIVERSITY DR
City MARINETTE
State WI
ZIP 54143
Phone 920 490-9046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. JOSEPH T. BERGMANN

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