49D2176090 CLIA NUMBER - CARILION CLINIC ENDOCRINOLOGY

Laboratory Demographics

CLIA Number: 49D2176090

Facility Name: CARILION CLINIC ENDOCRINOLOGY

Facility Address:
3 RIVERSIDE CIRCLE
ROANOKE, VA
ZIP 24016
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Facility Phone Number: 540 224-5170

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982908547

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 49D2176090
LAB Type Physician Office
Facility Name CARILION CLINIC ENDOCRINOLOGY
Street 3 RIVERSIDE CIRCLE
City ROANOKE
State VA
ZIP 24016
Phone 540 224-5170
CertificateType 4
CertificateEffectiveDate 12/9/2023
CertificateExpirationDate 12/8/2025
FacilityType Waiver

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