49D0973039 CLIA NUMBER - LEWISGALE PHYSICIANS-INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 49D0973039
  • Facility Name: LEWISGALE PHYSICIANS-INTERNAL MEDICINE
  • Facility Address: 707 S JEFFERSON ST 4TH FLOOR
    ROANOKE, VA
    ZIP 24016
  • Facility Phone: 540 344-3020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VASHIST NOBBEE
  • NPI Number: 1255413027
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D0973039
LAB Type Physician Office
Facility Name LEWISGALE PHYSICIANS-INTERNAL MEDICINE
Street 707 S JEFFERSON ST 4TH FLOOR
City ROANOKE
State VA
ZIP 24016
Phone 540 344-3020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director VASHIST NOBBEE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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