49D2062246 CLIA NUMBER - RIVERSIDE DIABETES SERVICES

Laboratory Demographics

  • CLIA Code: 49D2062246
  • Facility Name: RIVERSIDE DIABETES SERVICES
  • Facility Address: 12200 WARWICK BOULEVARD, SUITE 590A
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 534-5918
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KIMBERLY DENNY
  • NPI Number: 1548519424
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 49D2062246
LAB Type Physician Office
Facility Name RIVERSIDE DIABETES SERVICES
Street 12200 WARWICK BOULEVARD, SUITE 590A
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 534-5918
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Physician Office
Lab Director KIMBERLY DENNY

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