49D2272263 CLIA NUMBER - NEW RIVER DERMATOLOGY PLC

Laboratory Demographics

  • CLIA Code: 49D2272263
  • Facility Name: NEW RIVER DERMATOLOGY PLC
  • Facility Address: 1225 MAPLE AVENUE SW
    ROANOKE, VA
    ZIP 24016
  • Facility Phone: 540 953-2210
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL S. HURD
  • NPI Number: 1467534248
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 49D2272263
LAB Type Physician Office
Facility Name NEW RIVER DERMATOLOGY PLC
Street 1225 MAPLE AVENUE SW
City ROANOKE
State VA
ZIP 24016
Phone 540 953-2210
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Physician Office
Lab Director DANIEL S. HURD

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