51D1050555 CLIA NUMBER - RESCARE CROSS LANES ICF

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CLIA Record

Field Name Field Value
CLIA Number 51D1050555
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RESCARE CROSS LANES ICF
Street 5202 LINDA VISTA DRIVE
City CROSS LANES
State WV
ZIP 25313
Phone 304 776-5010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2024
Certificate Expiration Date 3/29/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SHARON OVERSTREET

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This page was last updated on: 6/4/2025