49D1028544 CLIA NUMBER - RIVERSIDE NEUROLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 49D1028544
  • Facility Name: RIVERSIDE NEUROLOGY SPECIALISTS
  • Facility Address: 12200 WARWICK BLVD, SUITE 110
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 534-5374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAMEL BEN-OTHMANE
  • NPI Number: 1669646949
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1028544
LAB Type Physician Office
Facility Name RIVERSIDE NEUROLOGY SPECIALISTS
Street 12200 WARWICK BLVD, SUITE 110
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 534-5374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Physician Office
Lab Director KAMEL BEN-OTHMANE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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