18D2057374 CLIA NUMBER - BHG XXV, LLC DBA BHG PIKEVILLE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 18D2057374
  • Facility Name: BHG XXV, LLC DBA BHG PIKEVILLE TREATMENT CENTER
  • Facility Address: 368 SOUTH MAYO TRAIL
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 437-0047
  • Facility Type: Other - OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: CRYSTAL ISAAC
  • NPI Number: 1710323894
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2057374
LAB Type Other - OUTPATIENT TREATMENT
Facility Name BHG XXV, LLC DBA BHG PIKEVILLE TREATMENT CENTER
Street 368 SOUTH MAYO TRAIL
City PIKEVILLE
State KY
ZIP 41501
Phone 606 437-0047
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 - OUTPATIENT TREATMENT
Lab Director CRYSTAL ISAAC

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