01D2204514 CLIA NUMBER - OCCMED SOLUTIONS & WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 01D2204514
  • Facility Name: OCCMED SOLUTIONS & WELLNESS CENTER
  • Facility Address: 3144 ROSS CLARK CIRCLE
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 678-9123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY ULLMANN
  • NPI Number: 1093070187
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2204514
LAB Type Physician Office
Facility Name OCCMED SOLUTIONS & WELLNESS CENTER
Street 3144 ROSS CLARK CIRCLE
City DOTHAN
State AL
ZIP 36303
Phone 334 678-9123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director TERRY ULLMANN

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