49D0720020 CLIA NUMBER - BLUE RIDGE CANCER CARE

Laboratory Demographics

  • CLIA Code: 49D0720020
  • Facility Name: BLUE RIDGE CANCER CARE
  • Facility Address: 1995 WEST RIDGE RD
    WYTHEVILLE, VA
    ZIP 24382
  • Facility Phone: 276 228-7665
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JOSEPH MOCK
  • NPI Number: 1689709479
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 49D0720020
LAB Type Physician Office
Facility Name BLUE RIDGE CANCER CARE
Street 1995 WEST RIDGE RD
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 228-7665
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DR. JOSEPH MOCK

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