01D1025710 CLIA NUMBER - DOTHAN BEHAVIORAL MEDICINE

Laboratory Demographics

  • CLIA Code: 01D1025710
  • Facility Name: DOTHAN BEHAVIORAL MEDICINE
  • Facility Address: 408 HEALTHWEST DRIVE
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 702-7222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA DAWKINS
  • NPI Number: 1336277540
  • Taxonomy: 2084P0804X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 01D1025710
LAB Type Physician Office
Facility Name DOTHAN BEHAVIORAL MEDICINE
Street 408 HEALTHWEST DRIVE
City DOTHAN
State AL
ZIP 36303
Phone 334 702-7222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director ANGELA DAWKINS

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