49D2093977 CLIA NUMBER - BLUE RIDGE CANCER CARE-LEXINGTON

Laboratory Demographics

  • CLIA Code: 49D2093977
  • Facility Name: BLUE RIDGE CANCER CARE-LEXINGTON
  • Facility Address: 108 HOUSTON STREET
    LEXINGTON, VA
    ZIP 24450
  • Facility Phone: 540 464-3226
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: PADMAJA MALLIDI
  • NPI Number: 1043240278
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 49D2093977
LAB Type Physician Office
Facility Name BLUE RIDGE CANCER CARE-LEXINGTON
Street 108 HOUSTON STREET
City LEXINGTON
State VA
ZIP 24450
Phone 540 464-3226
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 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Physician Office
Lab Director PADMAJA MALLIDI

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