01D0304725 CLIA NUMBER - DOTHAN FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 01D0304725

Facility Name: DOTHAN FAMILY PRACTICE

Facility Address:
1891 HONEYSUCKLE ROAD SUITE C2
DOTHAN, AL
ZIP 36305
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Facility Phone Number: 334 794-6504

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1003403569

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304725
LAB Type	Physician Office
Facility Name	DOTHAN FAMILY PRACTICE
Street	1891 HONEYSUCKLE ROAD SUITE C2
City	DOTHAN
State	AL
ZIP	36305
Phone	334 794-6504
CertificateType	3
CertificateEffectiveDate	8/18/2022
CertificateExpirationDate	8/17/2024
FacilityType	PPMP

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