01D2125657 CLIA NUMBER - BHG LXXIII, LLC D/B/A BHG MEDICAL SERVICES-MONTGOMERY

Laboratory Demographics

  • CLIA Code: 01D2125657
  • Facility Name: BHG LXXIII, LLC D/B/A BHG MEDICAL SERVICES-MONTGOMERY
  • Facility Address: 1714 PLATT PLACE
    MONTGOMERY, AL
    ZIP 36117
  • Facility Phone: 334 245-7680
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: TAMARA COLE
  • NPI Number: 1568061307
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2125657
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXIII, LLC D/B/A BHG MEDICAL SERVICES-MONTGOMERY
Street 1714 PLATT PLACE
City MONTGOMERY
State AL
ZIP 36117
Phone 334 245-7680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director TAMARA COLE

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