49D2328590 CLIA NUMBER - NEW HOPE SUPPORT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 49D2328590
  • Facility Name: NEW HOPE SUPPORT SERVICES LLC
  • Facility Address: 1301 PETERS CREEK RD NW
    ROANOKE, VA
    ZIP 24017
  • Facility Phone: 540 777-2777
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILLIAN BAUMAN
  • NPI Number: 1902049042
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2328590
LAB Type Practitioner Other
Facility Name NEW HOPE SUPPORT SERVICES LLC
Street 1301 PETERS CREEK RD NW
City ROANOKE
State VA
ZIP 24017
Phone 540 777-2777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Practitioner Other
Lab Director JILLIAN BAUMAN

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