01D0673712 CLIA NUMBER - Eye Center South

Laboratory Demographics

CLIA Number: 01D0673712

Facility Name: Eye Center South

Facility Address:
2800 Ross Clark Circle
Dothan, AL
ZIP 36301
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Facility Phone Number: (334) 793-2211

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1114128733

Taxonomy: 332H00000X - Eyewear Supplier
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

CLIA Record

Field Name	Field Value
CLIA Number	01D0673712
LAB Type	PHYSICIAN OFFICE
Facility Name	Eye Center South
Street	2800 Ross Clark Circle
City	Dothan
State	AL
ZIP	36301
Phone	(334) 793-2211

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This page was last updated on: 4/7/2021