52D2159494 CLIA NUMBER - AURORA BAYCARE CARDIOLOGY

Laboratory Demographics

CLIA Number: 52D2159494

Facility Name: AURORA BAYCARE CARDIOLOGY

Facility Address:
2845 GREENBRIER ROAD
GREEN BAY, WI
ZIP 54311
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Facility Phone Number: 920 490-9046

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1811394877

Taxonomy: 283X00000X - Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

CLIA Record

Field Name	Field Value
CLIA Number	52D2159494
LAB Type	Physician Office
Facility Name	AURORA BAYCARE CARDIOLOGY
Street	2845 GREENBRIER ROAD
City	GREEN BAY
State	WI
ZIP	54311
Phone	920 490-9046
CertificateType	4
CertificateEffectiveDate	12/19/2022
CertificateExpirationDate	12/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024