49D2306956 CLIA NUMBER - VIRGINIA TREATMENT CENTER, LLC

Laboratory Demographics

  • CLIA Code: 49D2306956
  • Facility Name: VIRGINIA TREATMENT CENTER, LLC
  • Facility Address: 1529 WILLIAMSON ROAD
    ROANOKE, VA
    ZIP 24012
  • Facility Phone: 540 366-5248
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: GERALDINE VALLESTEROS
  • NPI Number: 1811035520
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2306956
LAB Type Comp. Outpatient Rehab Facility
Facility Name VIRGINIA TREATMENT CENTER, LLC
Street 1529 WILLIAMSON ROAD
City ROANOKE
State VA
ZIP 24012
Phone 540 366-5248
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director GERALDINE VALLESTEROS

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