18D2303731 CLIA NUMBER - BHG LVIII, LLC

Laboratory Demographics

  • CLIA Code: 18D2303731
  • Facility Name: BHG LVIII, LLC
  • Facility Address: 118 GRAND VUE PLAZA, SUITE #118, OBOT ROOM # 100
    HAZARD, KY
    ZIP 41701
  • Facility Phone: 606 487-1646
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MS. DANNIELLE HERALD
  • NPI Number: 1417696543
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2303731
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LVIII, LLC
Street 118 GRAND VUE PLAZA, SUITE #118, OBOT ROOM # 100
City HAZARD
State KY
ZIP 41701
Phone 606 487-1646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director MS. DANNIELLE HERALD

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