49D1053753 CLIA NUMBER - RIVERSIDE HOSPITAL, INC DBA RIVERSIDE CARDIOLOGY SPECIALISTS WILLIAMSBURG

Laboratory Demographics

  • CLIA Code: 49D1053753
  • Facility Name: RIVERSIDE HOSPITAL, INC DBA RIVERSIDE CARDIOLOGY SPECIALISTS WILLIAMSBURG
  • Facility Address: 117 BULIFANTS BOULEVARD - SUITE B
    WILLIAMSBURG, VA
    ZIP 23188
  • Facility Phone: 757 259-9540
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: VASUDEV G. ANANTHRAM
  • NPI Number: 1427229178
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D1053753
LAB Type Hospital
Facility Name RIVERSIDE HOSPITAL, INC DBA RIVERSIDE CARDIOLOGY SPECIALISTS WILLIAMSBURG
Street 117 BULIFANTS BOULEVARD - SUITE B
City WILLIAMSBURG
State VA
ZIP 23188
Phone 757 259-9540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/3/2024
Certificate Expiration Date 5/2/2026
Facility Type Hospital
Lab Director VASUDEV G. ANANTHRAM

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