49D2280048 CLIA NUMBER - ROANOKE REHAB AND HEALTHCARE CENTER LLC DBA STAR CITY REHABILITATION AND NURSING

Laboratory Demographics

  • CLIA Code: 49D2280048
  • Facility Name: ROANOKE REHAB AND HEALTHCARE CENTER LLC DBA STAR CITY REHABILITATION AND NURSING
  • Facility Address: 1047 MECCA STREET
    ROANOKE, VA
    ZIP 24012
  • Facility Phone: 540 924-0100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MAZEN MADHOUEN
  • NPI Number: 1336813336
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D2280048
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROANOKE REHAB AND HEALTHCARE CENTER LLC DBA STAR CITY REHABILITATION AND NURSING
Street 1047 MECCA STREET
City ROANOKE
State VA
ZIP 24012
Phone 540 924-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2025
Certificate Expiration Date 4/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MAZEN MADHOUEN

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