49D2048453 CLIA NUMBER - MEDEXPRESS URGENT CARE - HOLLINS

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Laboratory Demographics

CLIA Number: 49D2048453

Facility Name: MEDEXPRESS URGENT CARE - HOLLINS

Facility Address:
5610 WILLIAMSON ROAD
ROANOKE, VA
ZIP 24012
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Facility Phone Number: 540 265-8924

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417211343

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	49D2048453
LAB Type	Physician Office
Facility Name	MEDEXPRESS URGENT CARE - HOLLINS
Street	5610 WILLIAMSON ROAD
City	ROANOKE
State	VA
ZIP	24012
Phone	540 265-8924
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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