01D0304818 CLIA NUMBER - DOTHAN SURGERY CENTER

Laboratory Demographics

CLIA Number: 01D0304818

Facility Name: DOTHAN SURGERY CENTER

Facility Address:
1450 ROSS CLARK CIR SE SUITE 4
DOTHAN, AL
ZIP 36301
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Facility Phone Number: (334) 793-3442

Facility Type: AMBULATORY SURGERY CENTER

Certificate Type: Waiver

NPI Number: 1003815242

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0304818
LAB Type	AMBULATORY SURGERY CENTER
Facility Name	DOTHAN SURGERY CENTER
Street	1450 ROSS CLARK CIR SE SUITE 4
City	DOTHAN
State	AL
ZIP	36301
Phone	(334) 793-3442

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