01D0304790 CLIA NUMBER - DIGESTIVE HEALTH SPECIALISTS

Laboratory Demographics

  • CLIA Code: 01D0304790
  • Facility Name: DIGESTIVE HEALTH SPECIALISTS
  • Facility Address: 480 HONEYSUCKLE ROAD
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 836-1212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL F. JACKSON III MD
  • NPI Number: 1073566006
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D0304790
LAB Type Physician Office
Facility Name DIGESTIVE HEALTH SPECIALISTS
Street 480 HONEYSUCKLE ROAD
City DOTHAN
State AL
ZIP 36305
Phone 334 836-1212
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director DANIEL F. JACKSON III MD

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