Organization Active NPI

Chattahoochee Valley Dna Services

  • Clinical Medical Laboratory
  • Columbus, GA
National Provider Identifier
1053115154
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CHATTAHOOCHEE VALLEY DNA SERVICES
Practice address
1102 18TH Ave
Columbus, GA 31906-2944
Phone
(706) 580-1490
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dineta Vega
Title
Director
Phone
(706) 580-1490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1102 18TH Ave
Columbus, GA 31906-2944

Mailing address

1102 18TH Ave
Columbus, GA 31906-2944
Phone (706) 580-1490

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2341927Chattahoochee Valley Dna Services1102 18TH Aveneu, Columbus, GA 31906Certificate of waiverApr 9, 2028

National Provider Directory

National Provider Directory

Locations

1102 18th Ave
Columbus, GA 31906
Phone (706) 580-1490

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1053115154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 18TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062944",
            "telephone_number": "706-580-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 18TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319062944",
            "telephone_number": "706-580-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTAHOOCHEE VALLEY DNA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "DINETA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-580-1490"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.