11D2324647 CLIA NUMBER - SAPELO OAKS AESTHETICS & WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 11D2324647
  • Facility Name: SAPELO OAKS AESTHETICS & WELLNESS, LLC
  • Facility Address: 6574 SHELLMAN BLUFF ROAD, NE
    TOWNSEND, GA
    ZIP 31331
  • Facility Phone: 912 832-4666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN HOLLOWAY
  • NPI Number: 1003600636
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2324647
LAB Type Physician Office
Facility Name SAPELO OAKS AESTHETICS & WELLNESS, LLC
Street 6574 SHELLMAN BLUFF ROAD, NE
City TOWNSEND
State GA
ZIP 31331
Phone 912 832-4666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Physician Office
Lab Director KEVIN HOLLOWAY

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