49D2291474 CLIA NUMBER - CARILION MENTAL HEALTH, TANGLEWOOD

Laboratory Demographics

  • CLIA Code: 49D2291474
  • Facility Name: CARILION MENTAL HEALTH, TANGLEWOOD
  • Facility Address: 4434 ELECTRIC RD
    ROANOKE, VA
    ZIP 24018
  • Facility Phone: 540 981-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANITA KABLINGER
  • NPI Number: 1700839958
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2291474
LAB Type Physician Office
Facility Name CARILION MENTAL HEALTH, TANGLEWOOD
Street 4434 ELECTRIC RD
City ROANOKE
State VA
ZIP 24018
Phone 540 981-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director ANITA KABLINGER

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This page was last updated on: 6/4/2025