01D0683115 CLIA NUMBER - DR KEITH A DISMUKES

Laboratory Demographics

  • CLIA Code: 01D0683115
  • Facility Name: DR KEITH A DISMUKES
  • Facility Address: 202 HWY 80 EAST
    DEMOPOLIS, AL
    ZIP 36732
  • Facility Phone: 334 289-0499
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEITH A. DISMUKES MD
  • NPI Number: 1801161138
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D0683115
LAB Type Physician Office
Facility Name DR KEITH A DISMUKES
Street 202 HWY 80 EAST
City DEMOPOLIS
State AL
ZIP 36732
Phone 334 289-0499
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director KEITH A. DISMUKES MD

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This page was last updated on: 9/29/2025