49D0901620 CLIA NUMBER - GOOD SAMARITAN HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 49D0901620
  • Facility Name: GOOD SAMARITAN HOSPICE, INC
  • Facility Address: 4751 COVE ROAD NW
    ROANOKE, VA
    ZIP 24017
  • Facility Phone: 703 776-0198
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AARON HOUSH
  • NPI Number: 1548268923
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 49D0901620
LAB Type Hospice
Facility Name GOOD SAMARITAN HOSPICE, INC
Street 4751 COVE ROAD NW
City ROANOKE
State VA
ZIP 24017
Phone 703 776-0198
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Hospice
Lab Director AARON HOUSH

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