01D2056760 CLIA NUMBER - DALE MEDICAL CENTER AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 01D2056760
  • Facility Name: DALE MEDICAL CENTER AMBULATORY SURGERY CENTER
  • Facility Address: 2126 WEST RAY PARKER ROAD
    OZARK, AL
    ZIP 36360
  • Facility Phone: 334 774-2601
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MERLE MADIGAN DO
  • NPI Number: 1821363524
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2056760
LAB Type Ambulatory Surgery Center
Facility Name DALE MEDICAL CENTER AMBULATORY SURGERY CENTER
Street 2126 WEST RAY PARKER ROAD
City OZARK
State AL
ZIP 36360
Phone 334 774-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MERLE MADIGAN DO

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