49D2047726 CLIA NUMBER - RIVERSIDE TANGIER MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 49D2047726
  • Facility Name: RIVERSIDE TANGIER MEDICAL CENTER
  • Facility Address: 16186 MAIN RIDGE ROAD TANGIER ISLAND
    TANGIER, VA
    ZIP 23440
  • Facility Phone: 757 891-2412
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: LAURA A. HOBGOOD
  • NPI Number: 1578716981
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2047726
LAB Type Physician Office
Facility Name RIVERSIDE TANGIER MEDICAL CENTER
Street 16186 MAIN RIDGE ROAD TANGIER ISLAND
City TANGIER
State VA
ZIP 23440
Phone 757 891-2412
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director LAURA A. HOBGOOD

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