01D0304806 CLIA NUMBER - SOUTHEASTERN PEDIATRIC ASSOCIATES PA

Laboratory Demographics

CLIA Number: 01D0304806

Facility Name: SOUTHEASTERN PEDIATRIC ASSOCIATES PA

Facility Address:
364 HONEYSUCKLE ROAD
DOTHAN, AL
ZIP 36305
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Facility Phone Number: (334) 794-3352

Facility Type: PHYSICIAN OFFICE

Certificate Type: Certificate of Compliance

NPI Number: 1760023634

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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

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