49D2127907 CLIA NUMBER - MENTAL WELLNESS GROUP, PLLC

Laboratory Demographics

  • CLIA Code: 49D2127907
  • Facility Name: MENTAL WELLNESS GROUP, PLLC
  • Facility Address: 3959 ELECTRIC ROAD - SUITE 280
    ROANOKE, VA
    ZIP 24018
  • Facility Phone: 540 427-7944
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MALAK W. ISKANDAR
  • NPI Number: 1760860936
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2127907
LAB Type Physician Office
Facility Name MENTAL WELLNESS GROUP, PLLC
Street 3959 ELECTRIC ROAD - SUITE 280
City ROANOKE
State VA
ZIP 24018
Phone 540 427-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Physician Office
Lab Director MALAK W. ISKANDAR

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