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49D2173362 CLIA NUMBER - CARILION ANTICOAGULATION CLINIC

Laboratory Demographics

CLIA Number: 49D2173362

Facility Name: CARILION ANTICOAGULATION CLINIC

Facility Address:
2001 CRYSTAL SPRINGS AVENUE, SUITE 302
ROANOKE, VA
ZIP 24016
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Facility Phone Number: 540 853-0625

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation
NPI Number: 1073506002

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 49D2173362
LAB Type Ancillary Testing Site in Health Care Center
Facility Name CARILION ANTICOAGULATION CLINIC
Street 2001 CRYSTAL SPRINGS AVENUE, SUITE 302
City ROANOKE
State VA
ZIP 24016
Phone 540 853-0625
CertificateType 1
CertificateEffectiveDate 11/3/2023
CertificateExpirationDate 11/2/2025
FacilityType Accreditation

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