01D0304855 CLIA NUMBER - Primecare Of Dothan

Laboratory Demographics

CLIA Number: 01D0304855

Facility Name: Primecare Of Dothan

Facility Address:
4126 West Main Street,
Dothan, AL
ZIP 36305
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Facility Phone Number: (334) 793-2120

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1487726626

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 01D0304855
LAB Type PHYSICIAN OFFICE
Facility Name Primecare Of Dothan
Street 4126 West Main Street,
City Dothan
State AL
ZIP 36305
Phone 3347932120

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