01D2160193 CLIA NUMBER - DOTHAN NEURO-SPINE-PAIN

Laboratory Demographics

  • CLIA Code: 01D2160193
  • Facility Name: DOTHAN NEURO-SPINE-PAIN
  • Facility Address: 4300 WEST MAIN STREET SUITE 405
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 944-7073
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAYDEN HUNDLEY
  • NPI Number: 1003896887
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 01D2160193
LAB Type Physician Office
Facility Name DOTHAN NEURO-SPINE-PAIN
Street 4300 WEST MAIN STREET SUITE 405
City DOTHAN
State AL
ZIP 36305
Phone 334 944-7073
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Physician Office
Lab Director HAYDEN HUNDLEY

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