01D2299832 CLIA NUMBER - JOHN H GORDON DO LLC

Laboratory Demographics

  • CLIA Code: 01D2299832
  • Facility Name: JOHN H GORDON DO LLC
  • Facility Address: 105 PROFESSIONAL LANE
    DOTHAN, AL
    ZIP 36303
  • Facility Phone: 334 699-1419
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JOHN H. GORDON
  • NPI Number: 1356033013
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D2299832
LAB Type Physician Office
Facility Name JOHN H GORDON DO LLC
Street 105 PROFESSIONAL LANE
City DOTHAN
State AL
ZIP 36303
Phone 334 699-1419
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Physician Office
Lab Director DR. JOHN H. GORDON

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