18D2311491 CLIA NUMBER - BHG LVIII, LLC

Laboratory Demographics

  • CLIA Code: 18D2311491
  • Facility Name: BHG LVIII, LLC
  • Facility Address: 1000 ACE DRIVE, OBOT ROOM 100
    BEREA, KY
    ZIP 40403
  • Facility Phone: 859 756-5006
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MS. ERIN ROOKS
  • NPI Number: 1326787458
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 18D2311491
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LVIII, LLC
Street 1000 ACE DRIVE, OBOT ROOM 100
City BEREA
State KY
ZIP 40403
Phone 859 756-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director MS. ERIN ROOKS

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