SHALOM DESTINY DIAGNOSTIC LAB
NPI 1356094551
Clinic/Center in Danville, VA
NPI Status: Active since January 28, 2022
Contact Information
300 RINGGOLD INDUSTRIAL PKWY
DANVILLE, VA
ZIP 24540
Phone: (434) 483-4351
- Organization
- Clinic/Center
- CLIA Number: 49D2249597
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 01-20-2028
About SHALOM DESTINY DIAGNOSTIC LAB
This page provides the complete NPI Profile along with additional information for Shalom Destiny Diagnostic Lab, a provider established in Danville, Virginia operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1356094551 assigned on January 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Shalom Destiny Diagnostic Lab. The authorized official of this NPI record is Mrs. Nicola C. Barksdale Rn (Laboratory Director)
- NPI
- 1356094551
- Provider Legal Name
- SHALOM DESTINY NURSING CONSULTANT AND TRAINING SERVICES LLC
- Other Organization Name
- SHALOM DESTINY DIAGNOSTIC LAB
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 RINGGOLD INDUSTRIAL PKWY DANVILLE, VA 24540
- Location Phone
- (434) 483-4351
- Mailing Address
- 300 RINGGOLD INDUSTRIAL PKWY STE 124 DANVILLE, VA 24540
- Mailing Phone
- (434) 483-4351
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-28-2022
- Last Update Date
- 06-18-2024
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
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
- 49D2249597
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- January 21, 2026
- Certificate Expiration Date
- January 20, 2028
- Laboratory Director
- NICOLA BARKSDALE RN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shalom Destiny Diagnostic Lab 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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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1356094551, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
DANVILLE, VA 24540
DANVILLE, VA 24540
DANVILLE, VA 24540
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356094551, enumerated as an "organization" on January 28, 2022.
The provider is located at 300 RINGGOLD INDUSTRIAL PKWY DANVILLE, VA 24540 and the phone number is (434) 483-4351.
Clinic/Center with taxonomy code 261Q00000X.
