11D2310417 CLIA NUMBER - B WELL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 11D2310417
  • Facility Name: B WELL FAMILY PRACTICE
  • Facility Address: 3343 HWY 84 W, SUITE 103
    BLACKSHEAR, GA
    ZIP 31516
  • Facility Phone: 912 807-9355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KELLI R. BEARD
  • NPI Number: 1942047782
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2310417
LAB Type Physician Office
Facility Name B WELL FAMILY PRACTICE
Street 3343 HWY 84 W, SUITE 103
City BLACKSHEAR
State GA
ZIP 31516
Phone 912 807-9355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Physician Office
Lab Director KELLI R. BEARD

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