49D1102777 CLIA NUMBER - WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 49D1102777
  • Facility Name: WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES
  • Facility Address: 96 15TH STREET, SUITE 104
    NORTON, VA
    ZIP 24273
  • Facility Phone: 276 679-0321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLI DELP
  • NPI Number: 1346368115
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1102777
LAB Type Physician Office
Facility Name WELLMONT MEDICAL ASSOCIATES DBA BALLAD HEALTH MEDICAL ASSOCIATES
Street 96 15TH STREET, SUITE 104
City NORTON
State VA
ZIP 24273
Phone 276 679-0321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ALLI DELP

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