49D2245877 CLIA NUMBER - ADVANCED BEHAVIORAL WELLNESS

Laboratory Demographics

  • CLIA Code: 49D2245877
  • Facility Name: ADVANCED BEHAVIORAL WELLNESS
  • Facility Address: 3401 WESTOVER DRIVE A1
    DANVILLE, VA
    ZIP 24541
  • Facility Phone: 434 857-5399
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ALEXANDRIA MCINTOSH
  • NPI Number: 1518591353
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2245877
LAB Type Practitioner Other
Facility Name ADVANCED BEHAVIORAL WELLNESS
Street 3401 WESTOVER DRIVE A1
City DANVILLE
State VA
ZIP 24541
Phone 434 857-5399
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Practitioner Other
Lab Director ALEXANDRIA MCINTOSH

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