06D2304611 CLIA NUMBER - BHG LX LLC DBA BHG MEDICAL SERVICES - COLORADO

Laboratory Demographics

  • CLIA Code: 06D2304611
  • Facility Name: BHG LX LLC DBA BHG MEDICAL SERVICES - COLORADO
  • Facility Address: 850 23RD AVE OBOT ROOM 100 UNIT A
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 245-0123
  • Facility Type: Other - OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: ANTOINETTE DASILVA FAUSTO
  • NPI Number: 1750068144
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 06D2304611
LAB Type Other - OPIOID TREATMENT
Facility Name BHG LX LLC DBA BHG MEDICAL SERVICES - COLORADO
Street 850 23RD AVE OBOT ROOM 100 UNIT A
City LONGMONT
State CO
ZIP 80501
Phone 303 245-0123
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