18D2307625 CLIA NUMBER - BHG LVIII, LLC

Laboratory Demographics

  • CLIA Code: 18D2307625
  • Facility Name: BHG LVIII, LLC
  • Facility Address: 2705 OLIVET CHURCH ROAD, OBOT ROOM 100
    PADUCAH, KY
    ZIP 42001
  • Facility Phone: 270 443-0096
  • Facility Type: Other - OFFICE OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: MS. SARA JENNINGS
  • NPI Number: 1962141093
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2307625
LAB Type Other - OFFICE OPIOID TREATMENT
Facility Name BHG LVIII, LLC
Street 2705 OLIVET CHURCH ROAD, OBOT ROOM 100
City PADUCAH
State KY
ZIP 42001
Phone 270 443-0096
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 OPIOID TREATMENT
Lab Director MS. SARA JENNINGS

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