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 3347933442

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This page was last updated on: 5/19/2019