11D2275760 CLIA NUMBER - APPLING TOTAL WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 11D2275760
  • Facility Name: APPLING TOTAL WELLNESS LLC
  • Facility Address: 1745 CITY CIRCLE ROAD, BLDG B
    BAXLEY, GA
    ZIP 31513
  • Facility Phone: 912 705-6653
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIZAR ESKANDAR
  • NPI Number: 1346962248
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2275760
LAB Type Physician Office
Facility Name APPLING TOTAL WELLNESS LLC
Street 1745 CITY CIRCLE ROAD, BLDG B
City BAXLEY
State GA
ZIP 31513
Phone 912 705-6653
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Physician Office
Lab Director NIZAR ESKANDAR

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