05D2244713 CLIA NUMBER - BOHEMIAN CONCIERGE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2244713
  • Facility Name: BOHEMIAN CONCIERGE CARE INC
  • Facility Address: 555 PETALUMA AVE SUITE B-3
    SEBASTOPOL, CA
    ZIP 95472
  • Facility Phone: 707 509-5962
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH FLOWER
  • NPI Number: 1194309302
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2244713
LAB Type Physician Office
Facility Name BOHEMIAN CONCIERGE CARE INC
Street 555 PETALUMA AVE SUITE B-3
City SEBASTOPOL
State CA
ZIP 95472
Phone 707 509-5962
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director ELIZABETH FLOWER

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This page was last updated on: 9/29/2025