CLIA lab
CLIA 52D2191011: Bayshore Village SNF
Green Bay, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2191011 belongs to Bayshore Village SNF in Green Bay, WI.
Certificate of Waiver, effective August 21, 2026, expires August 20, 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
- August 21, 2026
- Certificate expiration
- August 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2020
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2191011
- Lab name
- Bayshore Village SNF
- Address
- 3150 Gershwin Drive, Green Bay, WI 54311
- Phone
- (920) 391-4702
- Fax
- (920) 391-4754
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Brown CTY Comm Treatment CTR-Bayshore VillageCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
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
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Questions
What is the CLIA number for Bayshore Village SNF in Green Bay?
52D2191011, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bayshore Village SNF hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D2191011 expire?
The CMS file lists August 20, 2028 as the certificate expiration date; the certificate took effect August 21, 2026.