CLIA lab
CLIA 52D2221454: Prevea ST Mary's Health Center Laboratory
Green Bay, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D2221454 belongs to Prevea ST Mary's Health Center Laboratory in Green Bay, WI.
Certificate of Accreditation, effective April 6, 2026, expires April 5, 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 Accreditation
- Certificate effective
- April 6, 2026
- Certificate expiration
- April 5, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 21, 2021
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D2221454
- Lab name
- Prevea ST Mary's Health Center Laboratory
- Address
- 1860 Shawano Avenue, Green Bay, WI 54303
- Phone
- (920) 496-4709
- Fax
- (920) 272-1243
Annual test volume the lab reported
- Tests under accreditation
- 7,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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
Related
Questions
What is the CLIA number for Prevea ST Mary's Health Center Laboratory in Green Bay?
52D2221454, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prevea ST Mary's Health Center Laboratory hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 52D2221454 expire?
The CMS file lists April 5, 2028 as the certificate expiration date; the certificate took effect April 6, 2026.