01D0686720 CLIA NUMBER - SOUTHEAST HEALTH WESTGATE CLINIC

Laboratory Demographics

CLIA Number: 01D0686720

Facility Name: SOUTHEAST HEALTH WESTGATE CLINIC

Facility Address:
1245 WESTGATE PARKWAY
DOTHAN, AL
ZIP 36303
Get Directions

Facility Phone Number: (334) 618-5777

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1710084876

Taxonomy: 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

CLIA Record

Field Name	Field Value
CLIA Number	01D0686720
LAB Type	PHYSICIAN OFFICE
Facility Name	SOUTHEAST HEALTH WESTGATE CLINIC
Street	1245 WESTGATE PARKWAY
City	DOTHAN
State	AL
ZIP	36303
Phone	(334) 618-5777

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023