Emergency and Urgent Care Vets in the Roanoke Valley
- Feb 24
- 3 min read

When your pet is in crisis, the last thing you want to do is scramble for a phone number or wonder if a clinic is still open. Whether it's a late-night chocolate raid or a sudden injury, knowing where to go in the Roanoke and New River Valleys is essential for every pet parent.
Here is your guide to the 24/7 emergency and urgent care options available in Roanoke, Salem, and the Blacksburg/Christiansburg area.
🏥 24/7 Emergency Pet Hospitals
If it’s the middle of the night or a major holiday, these are the facilities in our region that stay open around the clock:
1. Emergency Veterinary & Specialty Services of Roanoke
The primary hub for critical care in Roanoke City and County. They are strictly an emergency and specialty hospital, meaning they are built for high-stakes trauma and overnight monitoring.
Location: 5363 Peters Creek Rd NW, Roanoke, VA
Phone: 540-563-8575
Website: https://emergencyveterinarianservice.com/
2. Town & Country Veterinary Clinic (Christiansburg)
A cornerstone for the New River Valley. They operate as a standard practice during the day but maintain a 24/7 emergency staff.
Location: 200 Central Ave NE, Christiansburg, VA
Phone: 540-382-5042
Website: https://tcvccares.com/
3. Virginia-Maryland College of Veterinary Medicine (Blacksburg)

The teaching hospital at Virginia Tech. If your pet has a highly complex condition or you have a large animal (horse/livestock) emergency, this is the premier destination.
Location: 245 Duck Pond Dr, Blacksburg, VA
Phone: 540-231-4621
Website: https://vth.vetmed.vt.edu/index.html
⚡ Urgent Care & Extended Hours
Not every scare requires a 24-hour trauma center, but many happen right at dinner time. These clinics offer vital after-hours support.
Shenandoah Veterinary Associates (Roanoke)
Shenandoah is a fantastic resource for those "in-between" hours. They offer extended evening hours and weekend availability, making them a go-to for urgent issues like sudden limping, skin flares, or minor toxins that occur after your regular vet has closed.
Location: 4040 Electric Rd, Roanoke, VA
Phone: 540-774-4511
Website: https://shenandoahveter.com/
Best for: Quality urgent care and late-day appointments without the full ER wait time.
🐾 Comparison at a Glance
Clinic | Location | Type | Best For |
Emergency Vet (EVSS) | Roanoke | 24/7 ER | Major trauma & surgery |
Town & Country | Christiansburg | 24/7 ER/GP | NRV residents & late-night ER |
VA-MD Vet Med | Blacksburg | 24/7 ER | Specialty cases & large animals |
Shenandoah Vet | Roanoke | Extended/Urgent | Evening & weekend urgent care |
💡 Essential Pro-Tips for Pet Owners
Preparation is the best way to stay calm during a medical scare. Keep these tips in mind:

Call While En Route: Always call the clinic as you are leaving the house. This allows the medical team to prepare a triage station and ensures they aren't currently at capacity.
Use the Poison Control Hotline: If your pet ingests something toxic, call the ASPCA Poison Control Center (888-426-4435). They provide a case number that helps the vet start specific treatments immediately upon your arrival.
Know the "Red Flags": Difficulty breathing, extreme lethargy, inability to urinate (especially in male cats), and suspected poisoning always require an immediate ER visit.
Keep a "Go-Bag": Keep a digital or physical copy of your pet’s vaccination records and a list of current medications ready to go.
Plan for Finances: Emergency fees are typically higher than standard visits. Many local clinics accept CareCredit or Scratchpay to help manage unexpected costs.
Paw 2 Paw Pet Sitting & Dog Walking offers dog walking and pet sitting services in the Roanoke Valley. To register your pet(s) with us, please complete a new client questionnaire here. Existing clients may request services here
Those outside our service area are encouraged to find a professional pet sitter near you at the Pet Sitters International website
Please contact us by email at info@paw2pawroanoke.com or by phone at 540-613-1332 to learn more.
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