01D0304727 CLIA NUMBER - AFFILIATED DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 01D0304727
  • Facility Name: AFFILIATED DERMATOLOGY
  • Facility Address: 4300 WEST MAIN ST, SUITE 102
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 793-9564
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: CRAIG D. OMOHUNDRO
  • NPI Number: 1124008636
  • Taxonomy: 207NS0135X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D0304727
LAB Type Physician Office
Facility Name AFFILIATED DERMATOLOGY
Street 4300 WEST MAIN ST, SUITE 102
City DOTHAN
State AL
ZIP 36305
Phone 334 793-9564
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director CRAIG D. OMOHUNDRO

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