01D0304811 CLIA NUMBER - WOMENS HEALTHCARE OF DOTHAN PC

Laboratory Demographics

CLIA Number: 01D0304811

Facility Name: WOMENS HEALTHCARE OF DOTHAN PC

Facility Address:
4300 W MAIN STREET SUITE 31
DOTHAN, AL
ZIP 36305
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Facility Phone Number: (334) 702-6154

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1396305579

Taxonomy: 363LX0001X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	01D0304811
LAB Type	PHYSICIAN OFFICE
Facility Name	WOMENS HEALTHCARE OF DOTHAN PC
Street	4300 W MAIN STREET SUITE 31
City	DOTHAN
State	AL
ZIP	36305
Phone	(334) 702-6154

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