SOUTHSIDE REGIONAL MEDICAL CENTER
NPI 1013070325
Clinical Medical Laboratory in Colonial Heights, VA

Active since December 18, 2006CLIA 49D2000182 · Waiver
436 CLAIRMONT COURT, COLONIAL HEIGHTS, VA 23834(804) 862-5000 Get Directions Write a Review

NPPES record last updated: August 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southside Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE REGIONAL MEDICAL CENTER (NPI 1013070325) is a healthcare organization registered as a clinical medical laboratory in Colonial Heights, Virginia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 22, 2027 and lists Paula M Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1013070325
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePETERSBURG HOSPITAL COMPANY LLC
Location Address436 CLAIRMONT COURTColonial Heights, VA 23834
Mailing AddressPo Box 501128St Louis, MO 63150 · (804) 765-5000 · Fax (804) 765-5962
Organization SubpartNo
Authorized OfficialPaula M LalorDirector/delegated Official · (615) 925-4565
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 3, 2017
NPI 1013070325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
436 CLAIRMONT COURT, Colonial Heights, VA 23834

Other Names 1

Doing Business AsSouthside Regional Medical Center

Other Identifiers 1

Other138348VA · Anthem Bcbs Pt Lab Radio

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2000182

Southside Regional Med Ctr Outpatient Ctr Dba Bon Secours Mercy Health Petersburg LLC · Colonial Heights, VA
Active · expires Nov 22, 2027
CLIA Number49D2000182
Laboratory TypeOther
Certificate Effective DateNovember 23, 2025
Certificate Expiration DateNovember 22, 2027
Laboratory DirectorJohn W. Summerville
Laboratory Phone(804) 765-5028
Laboratory LocationSouthside Regional Med Ctr Outpatient Ctr Dba Bon Secours Mercy Health Petersburg LLC436 Clairmont Court - Suite 101, Colonial Heights, VA 23834
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
436 CLAIRMONT COURT, SUITE 100
COLONIAL HEIGHTS, VA 23834
Clinic/Center (Urgent Care)
436 CLAIRMONT COURT, SUITE 100
COLONIAL HEIGHTS, VA 23834

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersburg Hospital Company LLC's NPI number?

The NPI number for Petersburg Hospital Company LLC is 1013070325. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Southside Regional Medical Center.

Where is Petersburg Hospital Company LLC located?

Petersburg Hospital Company LLC is located at 436 Clairmont Court, Colonial Heights, VA 23834. The listed phone number is (804) 862-5000.

What is Petersburg Hospital Company LLC's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Petersburg Hospital Company LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2000182) is associated with this NPI, valid through November 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Petersburg Hospital Company LLC was last updated on August 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.