49D2005655 CLIA NUMBER - SOUTHERN VIRGINIA CARDIOVASCULAR CONSULTANTS

Laboratory Demographics

  • CLIA Code: 49D2005655
  • Facility Name: SOUTHERN VIRGINIA CARDIOVASCULAR CONSULTANTS
  • Facility Address: 319 HOSPITAL DRIVE - SUITE 102
    MARTINSVILLE, VA
    ZIP 24112
  • Facility Phone: 276 634-4976
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEEPAK D. BANERJEE
  • NPI Number: 1295187953
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D2005655
LAB Type Physician Office
Facility Name SOUTHERN VIRGINIA CARDIOVASCULAR CONSULTANTS
Street 319 HOSPITAL DRIVE - SUITE 102
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 634-4976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director DEEPAK D. BANERJEE

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