11D0976294 CLIA NUMBER - APPLING PEDIATRICS

Laboratory Demographics

CLIA Number: 11D0976294

Facility Name: APPLING PEDIATRICS

Facility Address:
105 E TOLLISON STREET, SUITE D
BAXLEY, GA
ZIP 31513
Get Directions

Facility Phone Number: 912 366-9688

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1720227895

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0976294
LAB Type	Physician Office
Facility Name	APPLING PEDIATRICS
Street	105 E TOLLISON STREET, SUITE D
City	BAXLEY
State	GA
ZIP	31513
Phone	912 366-9688
CertificateType	3
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024