36D0959972 CLIA NUMBER - BOWLING GREEN FAMILY CARE CENTER WOOD HEALTH COMPANY, LLC

Laboratory Demographics

  • CLIA Code: 36D0959972
  • Facility Name: BOWLING GREEN FAMILY CARE CENTER WOOD HEALTH COMPANY, LLC
  • Facility Address: 1037 CONNEAUT AVENUE, SUITE 206
    BOWLING GREEN, OH
    ZIP 43402
  • Facility Phone: 419 353-6225
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REESHAD BUHARIWALLA
  • NPI Number: 1386735371
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 36D0959972
LAB Type Physician Office
Facility Name BOWLING GREEN FAMILY CARE CENTER WOOD HEALTH COMPANY, LLC
Street 1037 CONNEAUT AVENUE, SUITE 206
City BOWLING GREEN
State OH
ZIP 43402
Phone 419 353-6225
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 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Physician Office
Lab Director REESHAD BUHARIWALLA

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