ST. MARY'S HOSPITAL OUTPATIENT LAB
NPI 1043828387
Clinical Medical Laboratory in Green Bay, WI

Active since July 22, 2020CLIA 52D0395075 · Accreditation
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 498-4200 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2021, Jul 22, 2020 (2 updates tracked since 2020).

About St. Mary's Hospital Outpatient Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARY'S HOSPITAL OUTPATIENT LAB (NPI 1043828387) is a healthcare organization registered as a clinical medical laboratory in Green Bay, Wisconsin and active in the NPI registry since July 2020. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Brian Charlier, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1043828387
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameST MARY'S HOSPITAL MEDICAL CENTER OF GREEN BAY INC.-HOSPITAL SISTERS
Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3282
Mailing Address1726 Shawano AveGreen Bay, WI 54303-3282 · (920) 498-4200
Organization SubpartYes
Authorized OfficialBrian CharlierCeo/president · (920) 676-1148
Enumeration DateJuly 22, 2020
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
NPI 1043828387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

1726 SHAWANO AVE, Green Bay, WI 54303

Other Names 1

Doing Business AsSt. Mary's Hospital Outpatient Lab

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 52D0395075

St Marys Hospital Laboratory · Green Bay, WI
Active · expires Feb 27, 2027
CLIA Number52D0395075
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Patrick M. Mcdonough
Laboratory Phone(920) 498-4679
Laboratory LocationSt Marys Hospital Laboratory1726 Shawano Ave, Green Bay, WI 54303
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physician Assistant
1726 SHAWANO AVE
GREEN BAY, WI 54303
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physical Therapist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters's NPI number?

The NPI number for St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters is 1043828387. It was assigned to this organization in the NPPES registry on July 22, 2020. The provider is doing business as St. Mary's Hospital Outpatient Lab.

Where is St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters located?

St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters is located at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 498-4200.

What is St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 52D0395075) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters was last updated on December 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.