10D0991348 CLIA NUMBER - RIVERSIDE FAMILY HEALTH, PL

Laboratory Demographics

  • CLIA Code: 10D0991348
  • Facility Name: RIVERSIDE FAMILY HEALTH, PL
  • Facility Address: 1395 N COURTENAY PKWY STE 100
    MERRITT ISLAND, FL
    ZIP 32953
  • Facility Phone: 321 453-5252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANE NAOUMOFF
  • NPI Number: 1477568186
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0991348
LAB Type Physician Office
Facility Name RIVERSIDE FAMILY HEALTH, PL
Street 1395 N COURTENAY PKWY STE 100
City MERRITT ISLAND
State FL
ZIP 32953
Phone 321 453-5252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director STEPHANE NAOUMOFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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