49D2301755 CLIA NUMBER - RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG

Laboratory Demographics

  • CLIA Code: 49D2301755
  • Facility Name: RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG
  • Facility Address: 3700 BATTERY BOULEVARD, SUITE 200
    WILLIAMSBURG, VA
    ZIP 23185
  • Facility Phone: 757 782-6350
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KRYSTAL E. AINSLEY
  • NPI Number: 1043589252
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2301755
LAB Type Physician Office
Facility Name RIVERSIDE INTERNAL MEDICINE WILLIAMSBURG
Street 3700 BATTERY BOULEVARD, SUITE 200
City WILLIAMSBURG
State VA
ZIP 23185
Phone 757 782-6350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director KRYSTAL E. AINSLEY

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