CLIA lab
CLIA 52D0976128: Odyssey Healthcare Holding Company
De Pere, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0976128 belongs to Odyssey Healthcare Holding Company in De Pere, WI.
Certificate of Waiver, effective July 25, 2026, expires July 24, 2028.
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
- July 25, 2026
- Certificate expiration
- July 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 25, 2000
- Facility type
- Hospice
- 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
- 52D0976128
- Lab name
- Odyssey Healthcare Holding Company
- Additional name
- DBA Heartland Hospice (Green Bay)
- Address
- 1145 West Main Avenue, Ste 205, De Pere, WI 54115
- Phone
- (920) 336-6455
- Fax
- (920) 336-6661
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Heartland Hospice Green BayCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Odyssey Healthcare Holding Company in De Pere?
52D0976128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Odyssey Healthcare Holding Company hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0976128 expire?
The CMS file lists July 24, 2028 as the certificate expiration date; the certificate took effect July 25, 2026.