19D2303619 CLIA NUMBER - BHG MEDICAL SERVICES LOUISIANA BHG LXII LLC

Laboratory Demographics

  • CLIA Code: 19D2303619
  • Facility Name: BHG MEDICAL SERVICES LOUISIANA BHG LXII LLC
  • Facility Address: 2235 POYDRAS ST SUITE B OBOT ROOM #100
    NEW ORLEANS, LA
    ZIP 70119
  • Facility Phone: 504 524-7205
  • Facility Type: Other - OFFICE BASED OPIOID TX
  • Facility Type: Waiver
  • Lab Director: MICHELLE PERES-TENORIO
  • NPI Number: 1750090478
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2303619
LAB Type Other - OFFICE BASED OPIOID TX
Facility Name BHG MEDICAL SERVICES LOUISIANA BHG LXII LLC
Street 2235 POYDRAS ST SUITE B OBOT ROOM #100
City NEW ORLEANS
State LA
ZIP 70119
Phone 504 524-7205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Other - OFFICE BASED OPIOID TX
Lab Director MICHELLE PERES-TENORIO

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