51D2183379 CLIA NUMBER - LIFELINE ADDICTION & MENTAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 51D2183379
  • Facility Name: LIFELINE ADDICTION & MENTAL HEALTH CENTER
  • Facility Address: 3761 TEAYS VALLEY ROAD
    HURRICANE, WV
    ZIP 25526
  • Facility Phone: 681 207-7105
  • Facility Type: Other - MED ASST TREATMENT
  • Facility Type: Waiver
  • Lab Director: CATHY L. WALKER
  • NPI Number: 1568994259
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 51D2183379
LAB Type Other - MED ASST TREATMENT
Facility Name LIFELINE ADDICTION & MENTAL HEALTH CENTER
Street 3761 TEAYS VALLEY ROAD
City HURRICANE
State WV
ZIP 25526
Phone 681 207-7105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Other - MED ASST TREATMENT
Lab Director CATHY L. WALKER

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This page was last updated on: 9/29/2025