49D0880671 CLIA NUMBER - RIVERSIDE LIFE LONG HEALTH AND REHABILITATION MATHEWS

Laboratory Demographics

  • CLIA Code: 49D0880671
  • Facility Name: RIVERSIDE LIFE LONG HEALTH AND REHABILITATION MATHEWS
  • Facility Address: 603 MAIN STREET
    MATHEWS, VA
    ZIP 23109
  • Facility Phone: 804 725-9443
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NANCY B. HAYWOOD
  • NPI Number: 1255448379
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 49D0880671
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERSIDE LIFE LONG HEALTH AND REHABILITATION MATHEWS
Street 603 MAIN STREET
City MATHEWS
State VA
ZIP 23109
Phone 804 725-9443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NANCY B. HAYWOOD

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