18D2072208 CLIA NUMBER - BHG XXXV, LLC DBA BHG LEXINGTON TREATMENT CENTER

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Laboratory Demographics

CLIA Number: 18D2072208

Facility Name: BHG XXXV, LLC DBA BHG LEXINGTON TREATMENT CENTER

Facility Address:
455 PARK PLACE SUITE 130
LEXINGTON, KY
ZIP 40511
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Facility Phone Number: 859 276-0533

Facility Type: Other - OUTPATIENT OPIOID TREATME

Certificate Type: Waiver

NPI Number: 1386067254

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	18D2072208
LAB Type	Other - OUTPATIENT OPIOID TREATME
Facility Name	BHG XXXV, LLC DBA BHG LEXINGTON TREATMENT CENTER
Street	455 PARK PLACE SUITE 130
City	LEXINGTON
State	KY
ZIP	40511
Phone	859 276-0533
CertificateType	4
CertificateEffectiveDate	1/27/2024
CertificateExpirationDate	1/26/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024