42D2042283 CLIA NUMBER - RIVERSIDE AMBULANCE SERVICE, LLC

Laboratory Demographics

  • CLIA Code: 42D2042283
  • Facility Name: RIVERSIDE AMBULANCE SERVICE, LLC
  • Facility Address: 2604 HWY 25 SOUTH
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 803 641-6434
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DICKEY BRYAN
  • NPI Number: 1679809990
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2042283
LAB Type Ambulance
Facility Name RIVERSIDE AMBULANCE SERVICE, LLC
Street 2604 HWY 25 SOUTH
City GREENWOOD
State SC
ZIP 29646
Phone 803 641-6434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2024
Certificate Expiration Date 6/7/2026
Facility Type Ambulance
Lab Director DICKEY BRYAN

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