CLIA lab

CLIA 52D1000799: Blue Jay Springs Senior Living and Memory Care

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

CLIA number 52D1000799 belongs to Blue Jay Springs Senior Living and Memory Care in Green Bay, WI.

Certificate of Waiver, effective June 24, 2026, expires June 23, 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
June 24, 2026
Certificate expiration
June 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 24, 2002
Facility type
Assisted living facility
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
52D1000799
Lab name
Blue Jay Springs Senior Living and Memory Care
Address
1006 N Military Ave, Green Bay, WI 54303
Phone
(920) 499-1119
Fax
(920) 857-9192

Annual test volume the lab reported

Waived tests
1,000

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 Blue Jay Springs Senior Living and Memory Care in Green Bay?

52D1000799, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blue Jay Springs Senior Living and Memory Care hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D1000799 expire?

The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.

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