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51D0236958 CLIA NUMBER - HOPEMONT STATE HOSPITAL

Laboratory Demographics

CLIA Number: 51D0236958

Facility Name: HOPEMONT STATE HOSPITAL

Facility Address:
150 HOPEMONT DRIVE
TERRA ALTA, WV
ZIP 26764
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Facility Phone Number: 304 789-2411

Facility Type: Other - LTC

Certificate Type: Waiver
NPI Number: 1912993171

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 51D0236958
LAB Type Other - LTC
Facility Name HOPEMONT STATE HOSPITAL
Street 150 HOPEMONT DRIVE
City TERRA ALTA
State WV
ZIP 26764
Phone 304 789-2411
CertificateType 4
CertificateEffectiveDate 7/22/2023
CertificateExpirationDate 7/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024