18D2307623 CLIA NUMBER - BHG LVIII, LLC

Laboratory Demographics

  • CLIA Code: 18D2307623
  • Facility Name: BHG LVIII, LLC
  • Facility Address: 368 SOUTH MAYO TRAIL, OBOT ROOM 100
    PIKEVILLE, KY
    ZIP 41501
  • Facility Phone: 606 437-0047
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MS. CRYSTAL ISAAC
  • NPI Number: 1144969270
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2307623
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LVIII, LLC
Street 368 SOUTH MAYO TRAIL, OBOT ROOM 100
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 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director MS. CRYSTAL ISAAC

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