01D2067045 CLIA NUMBER - HOME OPTIONS OF DOTHAN

Laboratory Demographics

  • CLIA Code: 01D2067045
  • Facility Name: HOME OPTIONS OF DOTHAN
  • Facility Address: 1763 EAST MAIN STREET
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 673-0246
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. GANJUR H. GURU-PRAKASH MD
  • NPI Number: 1588096911
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2067045
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name HOME OPTIONS OF DOTHAN
Street 1763 EAST MAIN STREET
City DOTHAN
State AL
ZIP 36301
Phone 334 673-0246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. GANJUR H. GURU-PRAKASH MD

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