03D2302374 CLIA NUMBER - BHG LXXXV, LLC DBA BHG MEDICAL SERVICES - ARIZONA

Laboratory Demographics

  • CLIA Code: 03D2302374
  • Facility Name: BHG LXXXV, LLC DBA BHG MEDICAL SERVICES - ARIZONA
  • Facility Address: 2437 N STONE AVE OBOT RM #100
    TUCSON, AZ
    ZIP 85705
  • Facility Phone: 520 624-0250
  • Facility Type: Other - OFFICE BASED OPIOD TREATM
  • Facility Type: Waiver
  • Lab Director: MELISSA GONZALES
  • NPI Number: 1770298846
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2302374
LAB Type Other - OFFICE BASED OPIOD TREATM
Facility Name BHG LXXXV, LLC DBA BHG MEDICAL SERVICES - ARIZONA
Street 2437 N STONE AVE OBOT RM #100
City TUCSON
State AZ
ZIP 85705
Phone 520 624-0250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Other - OFFICE BASED OPIOD TREATM
Lab Director MELISSA GONZALES

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