01D2159239 CLIA NUMBER - ALABAMA EYE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 01D2159239
  • Facility Name: ALABAMA EYE SURGERY CENTER LLC
  • Facility Address: 5937 W MAIN ST
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 446-0872
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KIRK A. STURRIDGE
  • NPI Number: 1174914881
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 01D2159239
LAB Type Ambulatory Surgery Center
Facility Name ALABAMA EYE SURGERY CENTER LLC
Street 5937 W MAIN ST
City DOTHAN
State AL
ZIP 36305
Phone 334 446-0872
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Ambulatory Surgery Center
Lab Director KIRK A. STURRIDGE

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