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: 4/7/2021