01D2303316 CLIA NUMBER - BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES - ALABAMA

Laboratory Demographics

  • CLIA Code: 01D2303316
  • Facility Name: BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES - ALABAMA
  • Facility Address: 1001 MIMOSA PARK ROAD, OBOT ROOM #100
    TUSCALOOSA, AL
    ZIP 35405
  • Facility Phone: 205 752-5857
  • Facility Type: Other - OFFICE OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: JENNIFER MCDANAL
  • NPI Number: 1770156341
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2303316
LAB Type Other - OFFICE OPIOID TREATMENT
Facility Name BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES - ALABAMA
Street 1001 MIMOSA PARK ROAD, OBOT ROOM #100
City TUSCALOOSA
State AL
ZIP 35405
Phone 205 752-5857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Other - OFFICE OPIOID TREATMENT
Lab Director JENNIFER MCDANAL

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