49D0687458 CLIA NUMBER - RIVERSIDE INTERNAL MEDICINE OF DENBIGH

Laboratory Demographics

  • CLIA Code: 49D0687458
  • Facility Name: RIVERSIDE INTERNAL MEDICINE OF DENBIGH
  • Facility Address: 12652 JEFFERSON AVE
    NEWPORT NEWS, VA
    ZIP 23602
  • Facility Phone: 757 234-4285
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEGAN MCGAVERN
  • NPI Number: 1285860429
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D0687458
LAB Type Physician Office
Facility Name RIVERSIDE INTERNAL MEDICINE OF DENBIGH
Street 12652 JEFFERSON AVE
City NEWPORT NEWS
State VA
ZIP 23602
Phone 757 234-4285
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MEGAN MCGAVERN

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