01D0641723 CLIA NUMBER - SOUTHEAST HEALTH MEDICAL CENTER

Laboratory Demographics

  • Code: 01D0641723
  • Facility Name: SOUTHEAST HEALTH MEDICAL CENTER
  • Facility Address: 1108 ROSS CLARK CIRCLE
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 793-8045
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • NPI Number: 1811070410
  • Taxonomy: 213E00000X - Podiatrist
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CLIA Record

Field Name Field Value
CLIA Number 01D0641723
LAB Type Hospital
Facility Name SOUTHEAST HEALTH MEDICAL CENTER
Street 1108 ROSS CLARK CIRCLE
City DOTHAN
State AL
ZIP 36301
Phone 334 793-8045
Certificate Type 1
Certificate Effective Date 6/14/2023
Certificate Expiration Date 6/13/2025
Facility Type Accreditation

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This page was last updated on: 4/23/2024