49D2011410 CLIA NUMBER - FAIRLAWN SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 49D2011410
  • Facility Name: FAIRLAWN SURGERY CENTER, LLC
  • Facility Address: 2030 STEPHENSON AVENUE
    ROANOKE, VA
    ZIP 24014
  • Facility Phone: 540 904-6170
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. RYAN D. EVANS
  • NPI Number: 1770802555
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2011410
LAB Type Ambulatory Surgery Center
Facility Name FAIRLAWN SURGERY CENTER, LLC
Street 2030 STEPHENSON AVENUE
City ROANOKE
State VA
ZIP 24014
Phone 540 904-6170
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 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. RYAN D. EVANS

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