49D2139638 CLIA NUMBER - RIVERSIDE PRIMARY CARE - KILN CREEK

Laboratory Demographics

  • CLIA Code: 49D2139638
  • Facility Name: RIVERSIDE PRIMARY CARE - KILN CREEK
  • Facility Address: 209 VILLAGE AVENUE, SUITE P
    YORKTOWN, VA
    ZIP 23693
  • Facility Phone: 757 316-5050
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LAURA E. MCALEER-LEAVEY
  • NPI Number: 1467962662
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2139638
LAB Type Physician Office
Facility Name RIVERSIDE PRIMARY CARE - KILN CREEK
Street 209 VILLAGE AVENUE, SUITE P
City YORKTOWN
State VA
ZIP 23693
Phone 757 316-5050
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director LAURA E. MCALEER-LEAVEY

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