11D1036497 CLIA NUMBER - BHG LII, LLC, DBA BHG JACKSON TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 11D1036497
  • Facility Name: BHG LII, LLC, DBA BHG JACKSON TREATMENT CENTER
  • Facility Address: 794 MCDONOUGH STREET, SUITE 104
    JACKSON, GA
    ZIP 30233
  • Facility Phone: 214 365-6195
  • Facility Type: Other - O/P OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: MONICA ROOKS
  • NPI Number: 1033628466
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D1036497
LAB Type Other - O/P OPIOID TREATMENT
Facility Name BHG LII, LLC, DBA BHG JACKSON TREATMENT CENTER
Street 794 MCDONOUGH STREET, SUITE 104
City JACKSON
State GA
ZIP 30233
Phone 214 365-6195
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Other - O/P OPIOID TREATMENT
Lab Director MONICA ROOKS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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