11D2135402 CLIA NUMBER - MEDLINK BOWMAN

Laboratory Demographics

  • CLIA Code: 11D2135402
  • Facility Name: MEDLINK BOWMAN
  • Facility Address: 206 EAST CHURCH STREET
    BOWMAN, GA
    ZIP 30624
  • Facility Phone: 706 245-7361
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: KAZUC SENCIL
  • NPI Number: 1235249236
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2135402
LAB Type Federally Qualified Health Center
Facility Name MEDLINK BOWMAN
Street 206 EAST CHURCH STREET
City BOWMAN
State GA
ZIP 30624
Phone 706 245-7361
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Federally Qualified Health Center
Lab Director KAZUC SENCIL

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