CLIA lab

CLIA 11D0943174: Appling Medical Group- DR O V Fernando

Baxley, GA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 11D0943174 belongs to Appling Medical Group- DR O V Fernando in Baxley, GA.

Certificate for Provider-Performed Microscopy Procedures, effective March 24, 2026, expires March 23, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate for Provider-Performed Microscopy Procedures
Certificate effective
March 24, 2026
Certificate expiration
March 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 1998
Facility type
Rural health clinic
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
11D0943174
Lab name
Appling Medical Group- DR O V Fernando
Address
105 E Tollison Street, Suite B, Baxley, GA 31513
Phone
(912) 367-0102
Fax
(912) 367-9966

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
500
Total
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Appling Medical Group- DR O V Fernando in Baxley?

11D0943174, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Appling Medical Group- DR O V Fernando hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 11D0943174 expire?

The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.

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