01D1016395 CLIA NUMBER - DOTHAN DIAGNOSTIC IMAGING INC

Laboratory Demographics

  • CLIA Code: 01D1016395
  • Facility Name: DOTHAN DIAGNOSTIC IMAGING INC
  • Facility Address: 217 GRACELAND DRIVE STE 4
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 792-1525
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ROSS BARNETT
  • NPI Number: 1972561686
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 01D1016395
LAB Type Independent
Facility Name DOTHAN DIAGNOSTIC IMAGING INC
Street 217 GRACELAND DRIVE STE 4
City DOTHAN
State AL
ZIP 36305
Phone 334 792-1525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Independent
Lab Director ROSS BARNETT

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