49D2283026 CLIA NUMBER - RIVERSIDE PRIMARY CARE MIDTOWN

Laboratory Demographics

  • CLIA Code: 49D2283026
  • Facility Name: RIVERSIDE PRIMARY CARE MIDTOWN
  • Facility Address: 301 COLLEGE ROW, SUITE 9101
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 782-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMNA FEROZE
  • NPI Number: 1861414609
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2283026
LAB Type Physician Office
Facility Name RIVERSIDE PRIMARY CARE MIDTOWN
Street 301 COLLEGE ROW, SUITE 9101
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 782-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director AMNA FEROZE

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