11D0724712 CLIA NUMBER - BOLINGREEN HEALTH & REHABILIATION

Laboratory Demographics

  • CLIA Code: 11D0724712
  • Facility Name: BOLINGREEN HEALTH & REHABILIATION
  • Facility Address: 529 BOLINGREEN DRIVE
    MACON, GA
    ZIP 31210
  • Facility Phone: (478) 478-1720
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAULIKKUMNAR A. PATEL
  • NPI Number: 1992741995
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D0724712
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BOLINGREEN HEALTH & REHABILIATION
Street 529 BOLINGREEN DRIVE
City MACON
State GA
ZIP 31210
Phone 4784781720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAULIKKUMNAR A. PATEL

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This page was last updated on: 5/18/2026