49D2284872 CLIA NUMBER - CARILION CLINIC UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 49D2284872
  • Facility Name: CARILION CLINIC UROGYNECOLOGY
  • Facility Address: 101 ELM AVENUE
    ROANOKE, VA
    ZIP 24013
  • Facility Phone: 540 985-4099
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM J. GREER
  • NPI Number: 1669695052
  • Taxonomy: 252Y00000X - Early Intervention Provider Agency

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CLIA Record

Field Name Field Value
CLIA Number 49D2284872
LAB Type Physician Office
Facility Name CARILION CLINIC UROGYNECOLOGY
Street 101 ELM AVENUE
City ROANOKE
State VA
ZIP 24013
Phone 540 985-4099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director WILLIAM J. GREER

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