04D2170357 CLIA NUMBER - BHG LI, LLC BHG NORTH LITTLE ROCK TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 04D2170357
  • Facility Name: BHG LI, LLC BHG NORTH LITTLE ROCK TREATMENT CENTER
  • Facility Address: 4260 STOCKTON DR, STE B
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Facility Phone: 501 319-7963
  • Facility Type: Other - OPIOD TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: TERESA BUCHANAN
  • NPI Number: 1083260822
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2170357
LAB Type Other - OPIOD TREATMENT PROGRAM
Facility Name BHG LI, LLC BHG NORTH LITTLE ROCK TREATMENT CENTER
Street 4260 STOCKTON DR, STE B
City NORTH LITTLE ROCK
State AR
ZIP 72117
Phone 501 319-7963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2025
Certificate Expiration Date 8/7/2027
Facility Type Other - OPIOD TREATMENT PROGRAM
Lab Director TERESA BUCHANAN

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