51D1054313 CLIA NUMBER - NORTHWOOD HEALTH SYSTEMS INC

Laboratory Demographics

CLIA Number: 51D1054313

Facility Name: NORTHWOOD HEALTH SYSTEMS INC

Facility Address:
111 19TH STREET
WHEELING, WV
ZIP 26003
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Facility Phone Number: 304 234-3500

Facility Type: Other - BEHAVIORAL HEALTH

Certificate Type: Waiver

NPI Number: 1780707828

Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities
An intermediate care facility providing services for individuals with intellectual disabilities.

CLIA Record

Field Name	Field Value
CLIA Number	51D1054313
LAB Type	Other - BEHAVIORAL HEALTH
Facility Name	NORTHWOOD HEALTH SYSTEMS INC
Street	111 19TH STREET
City	WHEELING
State	WV
ZIP	26003
Phone	304 234-3500
CertificateType	4
CertificateEffectiveDate	5/17/2022
CertificateExpirationDate	5/16/2024
FacilityType	Waiver

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