06D2304610 CLIA NUMBER - BHG LX, LLC DBA BHG MEDICAL SERVICES - COLORADO

Laboratory Demographics

  • CLIA Code: 06D2304610
  • Facility Name: BHG LX, LLC DBA BHG MEDICAL SERVICES - COLORADO
  • Facility Address: 2114 MIDPOINT DR, OBOT ROOM 100 SUITE 4
    FORT COLLINS, CO
    ZIP 80525
  • Facility Phone: 970 372-3144
  • Facility Type: Other - OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: ANTOINETTE DASILVA FAUSTO
  • NPI Number: 1578240966
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 06D2304610
LAB Type Other - OPIOID TREATMENT
Facility Name BHG LX, LLC DBA BHG MEDICAL SERVICES - COLORADO
Street 2114 MIDPOINT DR, OBOT ROOM 100 SUITE 4
City FORT COLLINS
State CO
ZIP 80525
Phone 970 372-3144
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Other - OPIOID TREATMENT
Lab Director ANTOINETTE DASILVA FAUSTO

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