CLIA lab

CLIA 01D2110821: Dothan West Family Medicine

Dothan, AL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 01D2110821 belongs to Dothan West Family Medicine in Dothan, AL.

Certificate of Waiver, effective March 24, 2026, expires March 23, 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 of Waiver
Certificate effective
March 24, 2026
Certificate expiration
March 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 24, 2016
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
01D2110821
Lab name
Dothan West Family Medicine
Address
4300 West Main Street, Suite 15, Dothan, AL 36305
Phone
(334) 699-5994
Fax
(334) 699-5995

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Dothan West Family Medicine in Dothan?

01D2110821, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Dothan West Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 01D2110821 expire?

The CMS file lists March 23, 2028 as the certificate expiration date; the certificate took effect March 24, 2026.

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