SHALOM DESTINY DIAGNOSTIC LAB
NPI 1356094551
Clinic/Center in Danville, VA

Q: What is Shalom Destiny Nursing Consultant And Training Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 28, 2022CLIA 49D2249597 · Waiver

300 RINGGOLD INDUSTRIAL PKWY, DANVILLE, VA 24540(434) 483-4351 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Jan 24, 2023, Jan 28, 2022 (3 updates tracked since 2022).

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About Shalom Destiny Diagnostic Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHALOM DESTINY DIAGNOSTIC LAB (NPI 1356094551) is a healthcare organization registered as a clinic/center in Danville, Virginia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through January 20, 2028 and lists Nicola C. Barksdale, Laboratory Director, as its authorized official.

NPPES Registry Identity

NPI1356094551

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameSHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC

Location Address300 RINGGOLD INDUSTRIAL PKWYDanville, VA 24540-5548

Mailing Address300 Ringgold Industrial Pkwy Ste 124Danville, VA 24540-5548 · (434) 483-4351

Phone(434) 483-4351

Organization SubpartYes

Authorized OfficialNicola C. BarksdaleLaboratory Director · (434) 483-4351

Enumeration DateJanuary 28, 2022

Last NPPES UpdateJune 18, 20243 updates tracked since enumeration

NPPES CertifiedMay 21, 2024

✔ NPI 1356094551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

300 RINGGOLD INDUSTRIAL PKWY, Danville, VA 24540

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Other Names 2

Doing Business AsShalom Destiny Diagnostic Lab

Former Legal Business NameShalom Destiny Nursing Consultant And Training Services Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2249597

Shalom Destiny Diagnostic Lab · Danville, VA

Active · expires Jan 20, 2028

CLIA Number49D2249597

Laboratory TypeMobile Laboratory

Certificate Effective DateJanuary 21, 2026

Certificate Expiration DateJanuary 20, 2028

Laboratory DirectorNicola Barksdale Rn

Laboratory Phone(434) 483-4351

Laboratory LocationShalom Destiny Diagnostic Lab300 Ringgold Industrial Pkwy, Suite 124, Danville, VA 24540

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVERBS MEDICAL AND HEALTH CLINIC, LLC

Clinic/Center (Health Service)