49D1090359 CLIA NUMBER - WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D1090359
  • Facility Name: WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES
  • Facility Address: 603 CAMPUS DRIVE SUITE 100
    ABINGDON, VA
    ZIP 24210
  • Facility Phone: 276 628-4406
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLINTON H. SUTHERLAND
  • NPI Number: 1871507426
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 49D1090359
LAB Type Physician Office
Facility Name WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES
Street 603 CAMPUS DRIVE SUITE 100
City ABINGDON
State VA
ZIP 24210
Phone 276 628-4406
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director CLINTON H. SUTHERLAND

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