18D2303735 CLIA NUMBER - BHG LVIII,LLC

Laboratory Demographics

  • CLIA Code: 18D2303735
  • Facility Name: BHG LVIII,LLC
  • Facility Address: 785 CUMBERLAND GAP PARKWAY SUITE 3, OBOT ROOM 100
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 606 526-9348
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MS. ALYSSA BALL
  • NPI Number: 1376282426
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2303735
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LVIII,LLC
Street 785 CUMBERLAND GAP PARKWAY SUITE 3, OBOT ROOM 100
City CORBIN
State KY
ZIP 40701
Phone 606 526-9348
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. ALYSSA BALL

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