01D0933089 CLIA NUMBER - PRIMECARE OF DOTHAN-DALEVILLE CLINIC

Laboratory Demographics

CLIA Number: 01D0933089

Facility Name: PRIMECARE OF DOTHAN-DALEVILLE CLINIC

Facility Address:
144 VIRGINIA AVENUE
DALEVILLE, AL
ZIP 36322
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Facility Phone Number: (334) 793-2120

Facility Type: PHYSICIAN OFFICE

Certificate Type: Accreditation

NPI Number: 1487726626

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	01D0933089
LAB Type	PHYSICIAN OFFICE
Facility Name	PRIMECARE OF DOTHAN-DALEVILLE CLINIC
Street	144 VIRGINIA AVENUE
City	DALEVILLE
State	AL
ZIP	36322
Phone	(334) 793-2120

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