11D0696733 CLIA NUMBER - BOHLER FAMILY PRACTICE PC

Laboratory Demographics

  • CLIA Code: 11D0696733
  • Facility Name: BOHLER FAMILY PRACTICE PC
  • Facility Address: 128 PARKER AVE
    BROOKLET, GA
    ZIP 30415
  • Facility Phone: 912 842-2101
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: W SCOTT BOHIKE MD
  • NPI Number: 1811049679
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D0696733
LAB Type Physician Office
Facility Name BOHLER FAMILY PRACTICE PC
Street 128 PARKER AVE
City BROOKLET
State GA
ZIP 30415
Phone 912 842-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director W SCOTT BOHIKE MD

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