11D2180726 CLIA NUMBER - BHG LXVI, LLC DBA BHG MEDICAL SERVICES-GEORGIA

Laboratory Demographics

  • CLIA Code: 11D2180726
  • Facility Name: BHG LXVI, LLC DBA BHG MEDICAL SERVICES-GEORGIA
  • Facility Address: 1021 ALABAMA AVENUE
    BREMEN, GA
    ZIP 30110
  • Facility Phone: (770) 537-7007
  • Facility Type: Other - OFFICE OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: DANA BAKER
  • NPI Number: 1811596646
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 11D2180726
LAB Type Other - OFFICE OPIOID TREATMENT
Facility Name BHG LXVI, LLC DBA BHG MEDICAL SERVICES-GEORGIA
Street 1021 ALABAMA AVENUE
City BREMEN
State GA
ZIP 30110
Phone 7705377007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2026
Certificate Expiration Date 3/18/2028
Facility Type Other - OFFICE OPIOID TREATMENT
Lab Director DANA BAKER

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This page was last updated on: 5/18/2026