01D0304775 CLIA NUMBER - WIREGRASS CLINIC LLC

Laboratory Demographics

CLIA Number: 01D0304775

Facility Name: WIREGRASS CLINIC LLC

Facility Address:
210 WESTSIDE DR
DOTHAN, AL
ZIP 36303
Get Directions

Facility Phone Number: (334) 793-5000

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1922500198

Taxonomy: 261QD0000X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0304775
LAB Type PHYSICIAN OFFICE
Facility Name WIREGRASS CLINIC LLC
Street 210 WESTSIDE DR
City DOTHAN
State AL
ZIP 36303
Phone (334) 793-5000

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023