17D2304696 CLIA NUMBER - BHG LXXXIV, LLC DBA BHG MEDICAL SERVICES KANSAS

Laboratory Demographics

  • CLIA Code: 17D2304696
  • Facility Name: BHG LXXXIV, LLC DBA BHG MEDICAL SERVICES KANSAS
  • Facility Address: 1910 HASKELL AVENUE, SUITE #9, OBOT ROOM #100
    LAWRENCE, KS
    ZIP 66046
  • Facility Phone: 785 856-4357
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: STACY CHAMBERLAIN
  • NPI Number: 1154035236
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 17D2304696
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXXIV, LLC DBA BHG MEDICAL SERVICES KANSAS
Street 1910 HASKELL AVENUE, SUITE #9, OBOT ROOM #100
City LAWRENCE
State KS
ZIP 66046
Phone 785 856-4357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director STACY CHAMBERLAIN

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