16D2303737 CLIA NUMBER - BHG LXXXVI DBA BHG MEDICAL SERVICES - IOWA

Laboratory Demographics

  • CLIA Code: 16D2303737
  • Facility Name: BHG LXXXVI DBA BHG MEDICAL SERVICES - IOWA
  • Facility Address: 3811 NORTH HARRISON ST STE 400 OBOT ROOM 100
    DAVENPORT, IA
    ZIP 52806
  • Facility Phone: (563) 388-8000
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: SARA SEEMAN
  • NPI Number: 1093421026
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 16D2303737
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXXVI DBA BHG MEDICAL SERVICES - IOWA
Street 3811 NORTH HARRISON ST STE 400 OBOT ROOM 100
City DAVENPORT
State IA
ZIP 52806
Phone 5633888000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2026
Certificate Expiration Date 4/29/2028
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director SARA SEEMAN

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