49D1085779 CLIA NUMBER - BLUE RIDGE CANCER CARE

Laboratory Demographics

  • CLIA Code: 49D1085779
  • Facility Name: BLUE RIDGE CANCER CARE
  • Facility Address: 390 S MAIN STREET - SUITE 103
    ROCKY MOUNT, VA
    ZIP 24151
  • Facility Phone: 540 489-6522
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. SUZAN MERTEN
  • NPI Number: 1952390221
  • Taxonomy: 213E00000X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 49D1085779
LAB Type Physician Office
Facility Name BLUE RIDGE CANCER CARE
Street 390 S MAIN STREET - SUITE 103
City ROCKY MOUNT
State VA
ZIP 24151
Phone 540 489-6522
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 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director DR. SUZAN MERTEN

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