49D1039982 CLIA NUMBER - RIVERSIDE PENINSULA CANCER INSTITUTE AND INFUSION

Laboratory Demographics

  • CLIA Code: 49D1039982
  • Facility Name: RIVERSIDE PENINSULA CANCER INSTITUTE AND INFUSION
  • Facility Address: 12100 WARWICK BOULEVARD - SUITE 201B ATTN CHEVONNE LOGAN
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 534-5555
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MASHOUR YOUSEF
  • NPI Number: 1679979744
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 49D1039982
LAB Type Independent
Facility Name RIVERSIDE PENINSULA CANCER INSTITUTE AND INFUSION
Street 12100 WARWICK BOULEVARD - SUITE 201B ATTN CHEVONNE LOGAN
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 534-5555
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/23/2024
Certificate Expiration Date 3/22/2026
Facility Type Independent
Lab Director MASHOUR YOUSEF

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