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49D1028544 CLIA NUMBER - RIVERSIDE NEUROLOGY SPECIALISTS

Laboratory Demographics

CLIA Number: 49D1028544

Facility Name: RIVERSIDE NEUROLOGY SPECIALISTS

Facility Address:
12200 WARWICK BLVD, SUITE 110
NEWPORT NEWS, VA
ZIP 23601
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Facility Phone Number: 757 534-5374

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1669646949

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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
CertificateType 4
CertificateEffectiveDate 7/27/2022
CertificateExpirationDate 7/26/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024