04D2173845 CLIA NUMBER - BHG L LLC BHG MEDICAL SERVICES- FORT SMITH

Laboratory Demographics

  • CLIA Code: 04D2173845
  • Facility Name: BHG L LLC BHG MEDICAL SERVICES- FORT SMITH
  • Facility Address: 1501 S WALDRON ROAD, SUITE 203
    FORT SMITH, AR
    ZIP 72903
  • Facility Phone: 479 769-2880
  • Facility Type: Other - OPOID TREATMENT CENT
  • Facility Type: Waiver
  • Lab Director: LILLIAN MCCLURG
  • NPI Number: 1285280016
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 04D2173845
LAB Type Other - OPOID TREATMENT CENT
Facility Name BHG L LLC BHG MEDICAL SERVICES- FORT SMITH
Street 1501 S WALDRON ROAD, SUITE 203
City FORT SMITH
State AR
ZIP 72903
Phone 479 769-2880
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 CENT
Lab Director LILLIAN MCCLURG

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