49D2198168 CLIA NUMBER - CARILION ROANOKE MEMORIAL HOSPITAL ED

Laboratory Demographics

  • CLIA Code: 49D2198168
  • Facility Name: CARILION ROANOKE MEMORIAL HOSPITAL ED
  • Facility Address: 1906 BELLEVIEW AVENUE SE ATTN EMERGENCY DEPARTMENT
    ROANOKE, VA
    ZIP 24014
  • Facility Phone: 540 853-0735
  • Facility Type: Other - HOSPITAL ED
  • Facility Type: Waiver
  • Lab Director: DORIS DUFF
  • NPI Number: 1851621130
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 49D2198168
LAB Type Other - HOSPITAL ED
Facility Name CARILION ROANOKE MEMORIAL HOSPITAL ED
Street 1906 BELLEVIEW AVENUE SE ATTN EMERGENCY DEPARTMENT
City ROANOKE
State VA
ZIP 24014
Phone 540 853-0735
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2024
Certificate Expiration Date 10/29/2026
Facility Type Other - HOSPITAL ED
Lab Director DORIS DUFF

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