04D2180398 CLIA NUMBER - BHG MEDICAL SERVICES - TEXARKANA BHG L LLC

Laboratory Demographics

  • CLIA Code: 04D2180398
  • Facility Name: BHG MEDICAL SERVICES - TEXARKANA BHG L LLC
  • Facility Address: 2231 TRINITY BLVD
    TEXARKANA, AR
    ZIP 71854
  • Facility Phone: 870 330-3210
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: DAROLYN THOMPSON
  • NPI Number: 1215560529
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 04D2180398
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG MEDICAL SERVICES - TEXARKANA BHG L LLC
Street 2231 TRINITY BLVD
City TEXARKANA
State AR
ZIP 71854
Phone 870 330-3210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director DAROLYN THOMPSON

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