51D2217154 CLIA NUMBER - HOUSE OF GRACE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 51D2217154
  • Facility Name: HOUSE OF GRACE TREATMENT CENTER
  • Facility Address: 401 CAMDEN RD
    HUNTINGTON, WV
    ZIP 25704
  • Facility Phone: 681 888-5311
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. ROSE O. URADU
  • NPI Number: 1609333830
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 51D2217154
LAB Type Practitioner Other
Facility Name HOUSE OF GRACE TREATMENT CENTER
Street 401 CAMDEN RD
City HUNTINGTON
State WV
ZIP 25704
Phone 681 888-5311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Practitioner Other
Lab Director DR. ROSE O. URADU

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