CLIA lab

CLIA 52D0913169: Bellin Memorial Hospital

Green Bay, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 52D0913169 belongs to Bellin Memorial Hospital in Green Bay, WI.

Certificate of Waiver, effective September 2, 2025, expires September 1, 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
September 2, 2025
Certificate expiration
September 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 22, 1996
Facility type
Ancillary test site
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
52D0913169
Lab name
Bellin Memorial Hospital
Address
744 S Webster Ave, Green Bay, WI 54301
Phone
(920) 433-7436
Fax
(920) 433-3707

Annual test volume the lab reported

Waived tests
25,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Green Bay, WI

Related

Questions

What is the CLIA number for Bellin Memorial Hospital in Green Bay?

52D0913169, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bellin Memorial Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0913169 expire?

The CMS file lists September 1, 2027 as the certificate expiration date; the certificate took effect September 2, 2025.

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