01D2102484 CLIA NUMBER - PULMONARY ASSOCIATES PA

Laboratory Demographics

  • CLIA Code: 01D2102484
  • Facility Name: PULMONARY ASSOCIATES PA
  • Facility Address: 1450 ROSS CLARK CIRCLE SUITE 400
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 305-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARVIN W. SEXTON
  • NPI Number: 1912987785
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2102484
LAB Type Physician Office
Facility Name PULMONARY ASSOCIATES PA
Street 1450 ROSS CLARK CIRCLE SUITE 400
City DOTHAN
State AL
ZIP 36301
Phone 334 305-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director MARVIN W. SEXTON

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