49D2164838 CLIA NUMBER - RIVERSIDE INFECTIOUS DISEASE SPECIALISTS

Laboratory Demographics

  • CLIA Code: 49D2164838
  • Facility Name: RIVERSIDE INFECTIOUS DISEASE SPECIALISTS
  • Facility Address: 12420 WARWICK BLVD, SUITE 4C
    NEWPORT NEWS, VA
    ZIP 23606
  • Facility Phone: 757 596-7115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL KLUGER
  • NPI Number: 1255759429
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2164838
LAB Type Physician Office
Facility Name RIVERSIDE INFECTIOUS DISEASE SPECIALISTS
Street 12420 WARWICK BLVD, SUITE 4C
City NEWPORT NEWS
State VA
ZIP 23606
Phone 757 596-7115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Physician Office
Lab Director DANIEL KLUGER

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