49D0888991 CLIA NUMBER - HERMITAGE IN ROANOKE

Laboratory Demographics

  • CLIA Code: 49D0888991
  • Facility Name: HERMITAGE IN ROANOKE
  • Facility Address: 1009 OLD COUNTRY CLUB ROAD N W
    ROANOKE, VA
    ZIP 24017
  • Facility Phone: 540 344-6248
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: WILLIAM BALL
  • NPI Number: 1073732657
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Other
Lab Director WILLIAM BALL

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