04D2173840 CLIA NUMBER - BHG L , LLC BHG MED SERVICES-NORTH LITTLE ROCK

Laboratory Demographics

  • CLIA Code: 04D2173840
  • Facility Name: BHG L , LLC BHG MED SERVICES-NORTH LITTLE ROCK
  • Facility Address: 4260 STOCKTON DRIVE, STE A
    NORTH LITTLE ROCK, AR
    ZIP 72117
  • Facility Phone: 501 916-9129
  • Facility Type: Other - OPOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: MS. NIKKI PERALES
  • NPI Number: 1699321406
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2173840
LAB Type Other - OPOID TREATMENT
Facility Name BHG L , LLC BHG MED SERVICES-NORTH LITTLE ROCK
Street 4260 STOCKTON DRIVE, STE A
City NORTH LITTLE ROCK
State AR
ZIP 72117
Phone 501 916-9129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Other - OPOID TREATMENT
Lab Director MS. NIKKI PERALES

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