01D2184761 CLIA NUMBER - CAROLE L JOHNSON, MD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 01D2184761
  • Facility Name: CAROLE L JOHNSON, MD DERMATOLOGY
  • Facility Address: 1733 W MAIN STREET, SUITE 200
    DOTHAN, AL
    ZIP 36301
  • Facility Phone: 334 677-1690
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CAROLE L. JOHNSON
  • NPI Number: 1386624419
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 01D2184761
LAB Type Physician Office
Facility Name CAROLE L JOHNSON, MD DERMATOLOGY
Street 1733 W MAIN STREET, SUITE 200
City DOTHAN
State AL
ZIP 36301
Phone 334 677-1690
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Physician Office
Lab Director CAROLE L. JOHNSON

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