49D2294436 CLIA NUMBER - IGNITE WELLNESS RESOURCES

Laboratory Demographics

  • CLIA Code: 49D2294436
  • Facility Name: IGNITE WELLNESS RESOURCES
  • Facility Address: 4633 BRAMBLETON AVE, SUITE 200
    ROANOKE, VA
    ZIP 24018
  • Facility Phone: 540 404-1111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES M. FARMER
  • NPI Number: 1871244103
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D2294436
LAB Type Physician Office
Facility Name IGNITE WELLNESS RESOURCES
Street 4633 BRAMBLETON AVE, SUITE 200
City ROANOKE
State VA
ZIP 24018
Phone 540 404-1111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director JAMES M. FARMER

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