19D0714894 CLIA NUMBER - BGM GROUP,LLC

Laboratory Demographics

  • CLIA Code: 19D0714894
  • Facility Name: BGM GROUP,LLC
  • Facility Address: 71683 RIVERSIDE DRIVE, STE 110
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 985 845-7088
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RESHEE C. KELLER
  • NPI Number: 1821044165
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 19D0714894
LAB Type Home Health Agency
Facility Name BGM GROUP,LLC
Street 71683 RIVERSIDE DRIVE, STE 110
City COVINGTON
State LA
ZIP 70433
Phone 985 845-7088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director RESHEE C. KELLER

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