49D2321466 CLIA NUMBER - RIVERSIDE SMITHFIELD MOB

Laboratory Demographics

  • CLIA Code: 49D2321466
  • Facility Name: RIVERSIDE SMITHFIELD MOB
  • Facility Address: 19375 BENN'S GRANT BLVD
    SMITHFIELD, VA
    ZIP 23430
  • Facility Phone: 757 674-8700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: OLUGBEMISOLA MCCOY
  • NPI Number: 1447339288
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 49D2321466
LAB Type Physician Office
Facility Name RIVERSIDE SMITHFIELD MOB
Street 19375 BENN'S GRANT BLVD
City SMITHFIELD
State VA
ZIP 23430
Phone 757 674-8700
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 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director OLUGBEMISOLA MCCOY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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