49D1004162 CLIA NUMBER - DANVILLE ENT ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 49D1004162
  • Facility Name: DANVILLE ENT ASSOCIATES, INC
  • Facility Address: 159 EXECUTIVE DRIVE - SUITE C
    DANVILLE, VA
    ZIP 24541
  • Facility Phone: 434 792-0830
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL MEADEMA, MD
  • NPI Number: 1073614137
  • Taxonomy: 207Y00000X - Otolaryngology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1004162
LAB Type Physician Office
Facility Name DANVILLE ENT ASSOCIATES, INC
Street 159 EXECUTIVE DRIVE - SUITE C
City DANVILLE
State VA
ZIP 24541
Phone 434 792-0830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2024
Certificate Expiration Date 9/19/2026
Facility Type Physician Office
Lab Director SAMUEL MEADEMA, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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