51D2288174 CLIA NUMBER - RIVERSIDE HEALTH

Laboratory Demographics

  • CLIA Code: 51D2288174
  • Facility Name: RIVERSIDE HEALTH
  • Facility Address: 4112 RIVERSIDE DRIVE
    HUNTINGTON, WV
    ZIP 25705
  • Facility Phone: 681 204-5535
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ABIGAIL M. RICHARDSON
  • NPI Number: 1174302947
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 51D2288174
LAB Type Physician Office
Facility Name RIVERSIDE HEALTH
Street 4112 RIVERSIDE DRIVE
City HUNTINGTON
State WV
ZIP 25705
Phone 681 204-5535
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 8/23/2025
Certificate Expiration Date 8/22/2027
Facility Type Physician Office
Lab Director ABIGAIL M. RICHARDSON

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