49D0899053 CLIA NUMBER - RIVERSIDE PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 49D0899053
  • Facility Name: RIVERSIDE PEDIATRIC CENTER
  • Facility Address: 10510 JEFFERSON AVENUE, SUITE E
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 594-2846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALAN RASHID
  • NPI Number: 1811910102
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 49D0899053
LAB Type Physician Office
Facility Name RIVERSIDE PEDIATRIC CENTER
Street 10510 JEFFERSON AVENUE, SUITE E
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 594-2846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Physician Office
Lab Director ALAN RASHID

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