49D2217511 CLIA NUMBER - ROANOKE RESOURCE

Laboratory Demographics

  • CLIA Code: 49D2217511
  • Facility Name: ROANOKE RESOURCE
  • Facility Address: 402 CAMPBELL AVE SW
    ROANOKE, VA
    ZIP 24016
  • Facility Phone: 540 400-7431
  • Facility Type: Other - BEHAVIORAL HEALTH
  • Facility Type: Waiver
  • Lab Director: CELIA L. MCCAULEY-WITTL
  • NPI Number: 1104170679
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2217511
LAB Type Other - BEHAVIORAL HEALTH
Facility Name ROANOKE RESOURCE
Street 402 CAMPBELL AVE SW
City ROANOKE
State VA
ZIP 24016
Phone 540 400-7431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other - BEHAVIORAL HEALTH
Lab Director CELIA L. MCCAULEY-WITTL

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