49D1012294 CLIA NUMBER - RIVERSIDE HOSPITAL, INC D/B/A RIVERSIDE CARDIOLOGY SPECIALISTS NEWPORT NEWS

Laboratory Demographics

  • CLIA Code: 49D1012294
  • Facility Name: RIVERSIDE HOSPITAL, INC D/B/A RIVERSIDE CARDIOLOGY SPECIALISTS NEWPORT NEWS
  • Facility Address: 500 J CLYDE MORRIS BOULEVARD, SUITE A
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 594-2074
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: AMY G. TATUM
  • NPI Number: 1639324890
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1012294
LAB Type Hospital
Facility Name RIVERSIDE HOSPITAL, INC D/B/A RIVERSIDE CARDIOLOGY SPECIALISTS NEWPORT NEWS
Street 500 J CLYDE MORRIS BOULEVARD, SUITE A
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 594-2074
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Hospital
Lab Director AMY G. TATUM

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