CLIA lab
CLIA 01D0304710: Diana M Mancuso MD
Dothan, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 01D0304710 belongs to Diana M Mancuso MD in Dothan, AL.
Certificate for Provider-Performed Microscopy Procedures, effective August 19, 2026, expires August 18, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- August 19, 2026
- Certificate expiration
- August 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 01D0304710
- Lab name
- Diana M Mancuso MD
- Address
- 4300 W Main Suite #16, Dothan, AL 36305
- Phone
- (334) 793-4120
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Related
Questions
What is the CLIA number for Diana M Mancuso MD in Dothan?
01D0304710, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Diana M Mancuso MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 01D0304710 expire?
The CMS file lists August 18, 2028 as the certificate expiration date; the certificate took effect August 19, 2026.