01D2303347 CLIA NUMBER - BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES -ALABAMA

Laboratory Demographics

  • CLIA Code: 01D2303347
  • Facility Name: BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES -ALABAMA
  • Facility Address: 12271 INTERCHANGE DRIVE, OBOT ROOM #100
    GRAND BAY, AL
    ZIP 36541
  • Facility Phone: 251 865-0123
  • Facility Type: Other - OFFICE OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: MS. CARLY FIRKINS
  • NPI Number: 1376218867
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2303347
LAB Type Other - OFFICE OPIOID TREATMENT
Facility Name BHG LXXII, LLC D/B/A BHG MEDICAL SERVICES -ALABAMA
Street 12271 INTERCHANGE DRIVE, OBOT ROOM #100
City GRAND BAY
State AL
ZIP 36541
Phone 251 865-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Other - OFFICE OPIOID TREATMENT
Lab Director MS. CARLY FIRKINS

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