CLIA lab
CLIA 52D0395048: Dousman Clinic SC
Green Bay, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0395048 belongs to Dousman Clinic SC in Green Bay, WI.
Certificate of Waiver, effective January 24, 2025, expires January 23, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 24, 2025
- Certificate expiration
- January 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0395048
- Lab name
- Dousman Clinic SC
- Address
- 124 Siegler St, Green Bay, WI 54303
- Phone
- (920) 494-9661
- Fax
- (920) 496-3792
Annual test volume the lab reported
- Waived tests
- 1,456
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Green Bay, WI
- A2cl-Aurora Baycare Medical CenterCertificate of Accreditation, Hospital52D0990147
- A2cl-Aurora Baycare Medical Center - West MasonCertificate of Compliance, Independent52D0395052
- Addiction Services and Pharmacotherapy - Green BayCertificate of Waiver, Physician office52D2336703
- Advanced Eyecare CenterCertificate of Waiver, Physician office52D2080875
- AdventCertificate of Waiver, Physician office52D2275748
- Aegis Group, IncCertificate of Waiver, Ambulance52D0985474
- Alexandrina Pregnancy Resource CenterCertificate of Waiver, Independent52D2307297
- Allouez Parkside VillageCertificate of Waiver, Assisted living facility52D2196411
- Allouez Parkside Village LLCCertificate of Waiver, Assisted living facility52D2337369
- Alpha Senior ConceptsCertificate of Waiver, Assisted living facility52D2033755
Related
Questions
What is the CLIA number for Dousman Clinic SC in Green Bay?
52D0395048, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dousman Clinic SC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0395048 expire?
The CMS file lists January 23, 2027 as the certificate expiration date; the certificate took effect January 24, 2025.