11D1077435 CLIA NUMBER - BAKOTIC PATHOLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 11D1077435
  • Facility Name: BAKOTIC PATHOLOGY ASSOCIATES, LLC
  • Facility Address: 6240 SHILOH ROAD
    ALPHARETTA, GA
    ZIP 30005
  • Facility Phone: 470 695-3658
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. SCOTT M. ACKER
  • NPI Number: 1184814014
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1077435
LAB Type Independent
Facility Name BAKOTIC PATHOLOGY ASSOCIATES, LLC
Street 6240 SHILOH ROAD
City ALPHARETTA
State GA
ZIP 30005
Phone 470 695-3658
Certificate Type Certificate of Accreditation
Certificate Type Description 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.
Certificate Effective Date 12/26/2024
Certificate Expiration Date 12/25/2026
Facility Type Independent
Lab Director DR. SCOTT M. ACKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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