18D2304063 CLIA NUMBER - BHG LVIII,LLC

Laboratory Demographics

  • CLIA Code: 18D2304063
  • Facility Name: BHG LVIII,LLC
  • Facility Address: 1024 IVAL JAMES BOULEVARD, SUITE C, OBOT ROOM 100
    RICHMOND, KY
    ZIP 40475
  • Facility Phone: (859) 575-1323
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MS. CONNIE LONGHANY
  • NPI Number: 1174363733
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2304063
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LVIII,LLC
Street 1024 IVAL JAMES BOULEVARD, SUITE C, OBOT ROOM 100
City RICHMOND
State KY
ZIP 40475
Phone 8595751323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2026
Certificate Expiration Date 5/6/2028
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director MS. CONNIE LONGHANY

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This page was last updated on: 5/18/2026