52D2159494 CLIA NUMBER - AURORA BAYCARE CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 52D2159494
  • Facility Name: AURORA BAYCARE CARDIOLOGY
  • Facility Address: 2845 GREENBRIER ROAD
    GREEN BAY, WI
    ZIP 54311
  • Facility Phone: 920 490-9046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM T. WITMER
  • NPI Number: 1811394877
  • Taxonomy: 283X00000X - Rehabilitation Hospital

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director DR. WILLIAM T. WITMER

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