01D2305372 CLIA NUMBER - BHG LXXII, LC DBA BHG MEDICAL SERVICES-ALABAMA

Laboratory Demographics

  • CLIA Code: 01D2305372
  • Facility Name: BHG LXXII, LC DBA BHG MEDICAL SERVICES-ALABAMA
  • Facility Address: 1121 GARDNER STREET, OBOT ROOM #100
    GADSDEN, AL
    ZIP 35901
  • Facility Phone: 256 549-0807
  • Facility Type: Other - OFFICE BASED OPIOID
  • Facility Type: Waiver
  • Lab Director: MEKEAL DIAMOND
  • NPI Number: 1629743141
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 01D2305372
LAB Type Other - OFFICE BASED OPIOID
Facility Name BHG LXXII, LC DBA BHG MEDICAL SERVICES-ALABAMA
Street 1121 GARDNER STREET, OBOT ROOM #100
City GADSDEN
State AL
ZIP 35901
Phone 256 549-0807
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2024
Certificate Expiration Date 5/29/2026
Facility Type Other - OFFICE BASED OPIOID
Lab Director MEKEAL DIAMOND

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