49D2074440 CLIA NUMBER - RIVERSIDE EASTERN SHORE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 49D2074440
  • Facility Name: RIVERSIDE EASTERN SHORE FAMILY MEDICINE
  • Facility Address: 10085 WILLIAM F BERNART CIRCLE
    NASSAWADOX, VA
    ZIP 23413
  • Facility Phone: 757 442-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN W. SNYDER
  • NPI Number: 1487960134
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2074440
LAB Type Physician Office
Facility Name RIVERSIDE EASTERN SHORE FAMILY MEDICINE
Street 10085 WILLIAM F BERNART CIRCLE
City NASSAWADOX
State VA
ZIP 23413
Phone 757 442-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/10/2024
Certificate Expiration Date 3/9/2026
Facility Type Physician Office
Lab Director JOHN W. SNYDER

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