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	(334) 793-2120

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