49D2172159 CLIA NUMBER - RIVERSIDE WOUND CARE CLINIC

Laboratory Demographics

  • CLIA Code: 49D2172159
  • Facility Name: RIVERSIDE WOUND CARE CLINIC
  • Facility Address: 500 J CLYDE MORRIS BLVD ANNEX 3RD FLOOR
    NEWPORT NEWS, VA
    ZIP 23601
  • Facility Phone: 757 612-6390
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON GARRISON
  • NPI Number: 1588210108
  • Taxonomy: 261QE0002X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2172159
LAB Type Physician Office
Facility Name RIVERSIDE WOUND CARE CLINIC
Street 500 J CLYDE MORRIS BLVD ANNEX 3RD FLOOR
City NEWPORT NEWS
State VA
ZIP 23601
Phone 757 612-6390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2025
Certificate Expiration Date 9/16/2027
Facility Type Physician Office
Lab Director JASON GARRISON

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