01D2289489 CLIA NUMBER - ABIDE HEALTH & WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 01D2289489
  • Facility Name: ABIDE HEALTH & WELLNESS LLC
  • Facility Address: 3113 WESLEY WAY SUITE 2
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 479-0007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUANITA T. HEERSINK
  • NPI Number: 1144905985
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2289489
LAB Type Physician Office
Facility Name ABIDE HEALTH & WELLNESS LLC
Street 3113 WESLEY WAY SUITE 2
City DOTHAN
State AL
ZIP 36305
Phone 334 479-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director DR. JUANITA T. HEERSINK

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