48D2041361 CLIA NUMBER - RISA M M NIELSEN, MD, LLC

Laboratory Demographics

  • CLIA Code: 48D2041361
  • Facility Name: RISA M M NIELSEN, MD, LLC
  • Facility Address: 4000 BEESTON HILL MEDICAL CENTER SUITE 12
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 340 778-6680
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RISA M. NIELSEN
  • NPI Number: 1083621742
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 48D2041361
LAB Type Physician Office
Facility Name RISA M M NIELSEN, MD, LLC
Street 4000 BEESTON HILL MEDICAL CENTER SUITE 12
City CHRISTIANSTED
State VI
ZIP 00820
Phone 340 778-6680
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 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director RISA M. NIELSEN

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