49D2096109 CLIA NUMBER - CARILION CLINIC PHARMACY 3 RIVERSIDE

Laboratory Demographics

  • CLIA Code: 49D2096109
  • Facility Name: CARILION CLINIC PHARMACY 3 RIVERSIDE
  • Facility Address: 3 RIVERSIDE CIRCLE GROUND FLOOR
    ROANOKE, VA
    ZIP 24016
  • Facility Phone: 540 526-1450
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: ADRIAN S. WILSON
  • NPI Number: 1275020521
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 49D2096109
LAB Type Pharmacy
Facility Name CARILION CLINIC PHARMACY 3 RIVERSIDE
Street 3 RIVERSIDE CIRCLE GROUND FLOOR
City ROANOKE
State VA
ZIP 24016
Phone 540 526-1450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Pharmacy
Lab Director ADRIAN S. WILSON

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