01D0304806 CLIA NUMBER - SOUTHEASTERN PEDIATRIC ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 01D0304806
  • Facility Name: SOUTHEASTERN PEDIATRIC ASSOCIATES PA
  • Facility Address: 364 HONEYSUCKLE ROAD
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 794-3352
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. TED A. WILLIAMS
  • NPI Number: 1760023634
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 01D0304806
LAB Type Physician Office
Facility Name SOUTHEASTERN PEDIATRIC ASSOCIATES PA
Street 364 HONEYSUCKLE ROAD
City DOTHAN
State AL
ZIP 36305
Phone 334 794-3352
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 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director DR. TED A. WILLIAMS

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