49D2300562 CLIA NUMBER - CARILION CHILDRENS MULTI-SPECIALTY LAB

Laboratory Demographics

  • CLIA Code: 49D2300562
  • Facility Name: CARILION CHILDRENS MULTI-SPECIALTY LAB
  • Facility Address: 4348 ELECTRIC ROAD
    ROANOKE, VA
    ZIP 24018
  • Facility Phone: 540 769-0976
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DONNA S. POWERS
  • NPI Number: 1235801598
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2300562
LAB Type Physician Office
Facility Name CARILION CHILDRENS MULTI-SPECIALTY LAB
Street 4348 ELECTRIC ROAD
City ROANOKE
State VA
ZIP 24018
Phone 540 769-0976
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Physician Office
Lab Director DONNA S. POWERS

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