49D2009478 CLIA NUMBER - WALNUT AVENUE ASSOCIATES, PC

Laboratory Demographics

  • CLIA Code: 49D2009478
  • Facility Name: WALNUT AVENUE ASSOCIATES, PC
  • Facility Address: 16 WALNUT AVENUE, SW
    ROANOKE, VA
    ZIP 24016
  • Facility Phone: 540 524-2599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITENDRA S. DESAI
  • NPI Number: 1861583791
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2009478
LAB Type Physician Office
Facility Name WALNUT AVENUE ASSOCIATES, PC
Street 16 WALNUT AVENUE, SW
City ROANOKE
State VA
ZIP 24016
Phone 540 524-2599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director JITENDRA S. DESAI

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