49D2014296 CLIA NUMBER - JEFFERSON SURGICAL CLINIC, INC

Home > CLIA Lookup > 49D2014296

Laboratory Demographics

CLIA Number: 49D2014296

Facility Name: JEFFERSON SURGICAL CLINIC, INC

Facility Address:
1234 FRANKLIN ROAD, SW
ROANOKE, VA
ZIP 24016
Get Directions

Facility Phone Number: 540 345-1561

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1447286810

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	49D2014296
LAB Type	Physician Office
Facility Name	JEFFERSON SURGICAL CLINIC, INC
Street	1234 FRANKLIN ROAD, SW
City	ROANOKE
State	VA
ZIP	24016
Phone	540 345-1561
CertificateType	3
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024