49D1038524 CLIA NUMBER - RIVERSIDE SHORE CANCER INSTITUTE

Laboratory Demographics

  • CLIA Code: 49D1038524
  • Facility Name: RIVERSIDE SHORE CANCER INSTITUTE
  • Facility Address: 20480 MARKET STREET
    ONANCOCK, VA
    ZIP 23417
  • Facility Phone: 757 302-2600
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LAURA KERBIN
  • NPI Number: 1417495367
  • Taxonomy: 2085R0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D1038524
LAB Type Other
Facility Name RIVERSIDE SHORE CANCER INSTITUTE
Street 20480 MARKET STREET
City ONANCOCK
State VA
ZIP 23417
Phone 757 302-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other
Lab Director LAURA KERBIN

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