01D0683115 CLIA NUMBER - DR KEITH A DISMUKES

Laboratory Demographics

CLIA Number: 01D0683115

Facility Name: DR KEITH A DISMUKES

Facility Address:
202 HWY 80 EAST
DEMOPOLIS, AL
ZIP 36732
Get Directions

Facility Phone Number: (334) 289-0499

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1801161138

Taxonomy: 261QP2300X - Clinic/Center

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

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 3/23/2022