17D2105277 CLIA NUMBER - BHG XXX,LLC DBA BHG KANSAS CITY NORTH TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 17D2105277
  • Facility Name: BHG XXX,LLC DBA BHG KANSAS CITY NORTH TREATMENT CENTER
  • Facility Address: 1125 NORTH 5TH STREET
    KANSAS CITY, KS
    ZIP 66101
  • Facility Phone: 913 348-0888
  • Facility Type: Other - DRUG TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: REBECCA WILLIAMS
  • NPI Number: 1619338696
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 17D2105277
LAB Type Other - DRUG TREATMENT FACILITY
Facility Name BHG XXX,LLC DBA BHG KANSAS CITY NORTH TREATMENT CENTER
Street 1125 NORTH 5TH STREET
City KANSAS CITY
State KS
ZIP 66101
Phone 913 348-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other - DRUG TREATMENT FACILITY
Lab Director REBECCA WILLIAMS

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