49D2163597 CLIA NUMBER - MOUNT ROGERS COMMUNITY SERVICES

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CLIA Record

Field Name Field Value
CLIA Number 49D2163597
LAB Type Community Clinic
Facility Name MOUNT ROGERS COMMUNITY SERVICES
Street 770 WEST RIDGE ROAD
City WYTHEVILLE
State VA
ZIP 24382
Phone 276 223-3200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Community Clinic
Lab Director SANDRA O. BRYANT

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