01D0304791 CLIA NUMBER - CARDIOLOGY ASSOCIATES

Laboratory Demographics

  • Code: 01D0304791
  • Facility Name: CARDIOLOGY ASSOCIATES
  • Facility Address: 4300 W MAIN ST SUITE 102
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 793-9564
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • NPI Number: 1922088798
  • Taxonomy: 207RC0000X - Internal Medicine
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CLIA Record

Field Name Field Value
CLIA Number 01D0304791
LAB Type Physician Office
Facility Name CARDIOLOGY ASSOCIATES
Street 4300 W MAIN ST SUITE 102
City DOTHAN
State AL
ZIP 36301
Phone 334 793-9564
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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