51D2033333 CLIA NUMBER - HIDDEN BROOK CO, LLC

Laboratory Demographics

  • CLIA Code: 51D2033333
  • Facility Name: HIDDEN BROOK CO, LLC
  • Facility Address: 30 HIDDEN BROOK WAY
    CULLODEN, WV
    ZIP 25510
  • Facility Phone: (304) 645-3076
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER E. BOWMAN
  • NPI Number: 1124732680
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 51D2033333
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HIDDEN BROOK CO, LLC
Street 30 HIDDEN BROOK WAY
City CULLODEN
State WV
ZIP 25510
Phone 3046453076
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. CHRISTOPHER E. BOWMAN

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This page was last updated on: 5/15/2026