11D0264831 CLIA NUMBER - BCG MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 11D0264831
  • Facility Name: BCG MEDICAL GROUP
  • Facility Address: 340 EISENHOWER DR, SUITE 1200
    SAVANNAH, GA
    ZIP 31406
  • Facility Phone: 912 443-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL S. BRADLEY
  • NPI Number: 1982072872
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0264831
LAB Type Physician Office
Facility Name BCG MEDICAL GROUP
Street 340 EISENHOWER DR, SUITE 1200
City SAVANNAH
State GA
ZIP 31406
Phone 912 443-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director PAUL S. BRADLEY

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