01D2158958 CLIA NUMBER - DOTHAN VA WIREGRASS OPC

Laboratory Demographics

  • CLIA Code: 01D2158958
  • Facility Name: DOTHAN VA WIREGRASS OPC
  • Facility Address: 3753 ROSS CLARK CIRCLE #4
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 503-7813
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: NORMAN BELL
  • NPI Number: 1518355650
  • Taxonomy: 261QV0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2158958
LAB Type Ancillary Testing Site in Health Care Center
Facility Name DOTHAN VA WIREGRASS OPC
Street 3753 ROSS CLARK CIRCLE #4
City DOTHAN
State AL
ZIP 36303
Phone 334 503-7813
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/11/2018
Certificate Expiration Date 5/22/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director NORMAN BELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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