52D2276077 CLIA NUMBER - ST CROIX HOSPICE - GREEN BAY

Laboratory Demographics

  • CLIA Code: 52D2276077
  • Facility Name: ST CROIX HOSPICE - GREEN BAY
  • Facility Address: 420 S WASHINGTON ST, STE A
    GREEN BAY, WI
    ZIP 54301
  • Facility Phone: 920 305-7900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KARISA STROETZ
  • NPI Number: 1487378956
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 52D2276077
LAB Type Hospice
Facility Name ST CROIX HOSPICE - GREEN BAY
Street 420 S WASHINGTON ST, STE A
City GREEN BAY
State WI
ZIP 54301
Phone 920 305-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Hospice
Lab Director KARISA STROETZ

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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