51D1050558 CLIA NUMBER - RESCARE HUDSON STREET ICF

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CLIA Record

Field Name Field Value
CLIA Number 51D1050558
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RESCARE HUDSON STREET ICF
Street 222 HUDSON STREET
City SAINT ALBANS
State WV
ZIP 25177
Phone 304 727-5170
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: 9/29/2025