49D0888991 CLIA NUMBER - HERMITAGE IN ROANOKE

Laboratory Demographics

CLIA Number: 49D0888991

Facility Name: HERMITAGE IN ROANOKE

Facility Address:
1009 OLD COUNTRY CLUB ROAD N W
ROANOKE, VA
ZIP 24017
Get Directions

Facility Phone Number: 540 344-6248

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1073732657

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	49D0888991
LAB Type	Other
Facility Name	HERMITAGE IN ROANOKE
Street	1009 OLD COUNTRY CLUB ROAD N W
City	ROANOKE
State	VA
ZIP	24017
Phone	540 344-6248
CertificateType	4
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024