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: 3/23/2022