01D2198414 CLIA NUMBER - HANNAHAN COMPREHENSIVE PAIN CARE

Laboratory Demographics

  • CLIA Code: 01D2198414
  • Facility Name: HANNAHAN COMPREHENSIVE PAIN CARE
  • Facility Address: 3675 MONTGOMERY HWY
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 417-0450
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT W. HANNAHAN
  • NPI Number: 1972090991
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 01D2198414
LAB Type Physician Office
Facility Name HANNAHAN COMPREHENSIVE PAIN CARE
Street 3675 MONTGOMERY HWY
City DOTHAN
State AL
ZIP 36303
Phone 334 417-0450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director ROBERT W. HANNAHAN

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