49D1031473 CLIA NUMBER - RIVERSIDE CARDIOLOGY SPECIALISTS

Laboratory Demographics

  • CLIA Code: 49D1031473
  • Facility Name: RIVERSIDE CARDIOLOGY SPECIALISTS
  • Facility Address: 7544 HOSPITAL DRIVE SUITE 202 A
    GLOUCESTER, VA
    ZIP 23061
  • Facility Phone: 804 697-5553
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: AMY G. TATUM
  • NPI Number: 1538354279
  • Taxonomy: 2086S0129X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 49D1031473
LAB Type Hospital
Facility Name RIVERSIDE CARDIOLOGY SPECIALISTS
Street 7544 HOSPITAL DRIVE SUITE 202 A
City GLOUCESTER
State VA
ZIP 23061
Phone 804 697-5553
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Hospital
Lab Director AMY G. TATUM

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