18D2057373 CLIA NUMBER - BHG XXIV, LLC DBA BHG PAINTSVILLE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 18D2057373
  • Facility Name: BHG XXIV, LLC DBA BHG PAINTSVILLE TREATMENT CENTER
  • Facility Address: 628 JEFFERSON AVENUE
    PAINTSVILLE, KY
    ZIP 41240
  • Facility Phone: 606 789-6966
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: MR. JACOB CAMPBELL
  • NPI Number: 1568808640
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2057373
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BHG XXIV, LLC DBA BHG PAINTSVILLE TREATMENT CENTER
Street 628 JEFFERSON AVENUE
City PAINTSVILLE
State KY
ZIP 41240
Phone 606 789-6966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director MR. JACOB CAMPBELL

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