49D1044487 CLIA NUMBER - LTACH AT RIVERSIDE, LLC HAMPTON ROADS

Laboratory Demographics

  • CLIA Code: 49D1044487
  • Facility Name: LTACH AT RIVERSIDE, LLC HAMPTON ROADS
  • Facility Address: 500 J CLYDE MORRIS BLVD - 4TH FLOOR EAST & ANNEX
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 534-5000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. TIMOTHY WALLS
  • NPI Number: 1245765783
  • Taxonomy: 282E00000X - Long Term Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D1044487
LAB Type Hospital
Facility Name LTACH AT RIVERSIDE, LLC HAMPTON ROADS
Street 500 J CLYDE MORRIS BLVD - 4TH FLOOR EAST & ANNEX
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 534-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Hospital
Lab Director DR. TIMOTHY WALLS

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