01D2319589 CLIA NUMBER - EDGEWATER PAIN AND WELLNESS

Laboratory Demographics

  • CLIA Code: 01D2319589
  • Facility Name: EDGEWATER PAIN AND WELLNESS
  • Facility Address: 200 GROVE PARK LANE, SUITE 640
    DOTHAN, AL
    ZIP 36305
  • Facility Phone: 334 333-3471
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAM O. SEARCY
  • NPI Number: 1891591244
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 01D2319589
LAB Type Physician Office
Facility Name EDGEWATER PAIN AND WELLNESS
Street 200 GROVE PARK LANE, SUITE 640
City DOTHAN
State AL
ZIP 36305
Phone 334 333-3471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DR. SAM O. SEARCY

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