ADDICTION ALLIES, LLC
NPI 1003225780
Clinic/Center - Rehabilitation, Substance Use Disorder in Charlottesville, VA
- Organization
- Clinic/Center
- Rehabilitation, Substance Use Disorder
- CLIA Number: 49D2150957
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 07-08-2028
About ADDICTION ALLIES, LLC
This page provides the complete NPI Profile along with additional information for Addiction Allies, Llc, a provider established in Charlottesville, Virginia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1003225780 assigned on August 2014. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Addiction Allies, Llc. The authorized official of this NPI record is Noel B Jewell Md (Authorized Official)
- NPI
- 1003225780 Verify this NPI
- Provider Legal Name
- ADDICTION ALLIES, LLC
- Other Organization Name
- ADDICTION ALLIES, LLC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 631 BERKMAR CIR CHARLOTTESVILLE, VA 22901
- Location Phone
- (434) 770-1000
- Mailing Address
- 631 BERKMAR CIR CHARLOTTESVILLE, VA 22901
- Mailing Phone
- (434) 770-1000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-07-2014
- Last Update Date
- 01-10-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rehabilitation, Substance Use Disorder
- Taxonomy Code
- 261QR0405X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2150957
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- July 09, 2026
- Certificate Expiration Date
- July 08, 2028
- Laboratory Director
- CHRISTOPHER VON ELTEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Addiction Allies, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
CHARLOTTESVILLE, VA 22901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003225780, enumerated as an "organization" on August 07, 2014.
The provider is located at 631 BERKMAR CIR CHARLOTTESVILLE, VA 22901 and the phone number is (434) 770-1000.
Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.