01D0673712 CLIA NUMBER - EYE CENTER SOUTH

Laboratory Demographics

  • CLIA Code: 01D0673712
  • Facility Name: EYE CENTER SOUTH
  • Facility Address: 2800 ROSS CLARK CIRCLE
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 793-2211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SEBASTIAN HEERSINK MD
  • NPI Number: 1831390921
  • Taxonomy: 332H00000X - Eyewear Supplier

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director SEBASTIAN HEERSINK MD

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This page was last updated on: 3/20/2025