19D2303717 CLIA NUMBER - BHG LXII, LLC BHG MEDICAL SERVICES LOUISIANA

Laboratory Demographics

  • CLIA Code: 19D2303717
  • Facility Name: BHG LXII, LLC BHG MEDICAL SERVICES LOUISIANA
  • Facility Address: 1141 WHITNEY AVE, BUILDING 4, OBOT ROOM 100
    GRETNA, LA
    ZIP 70056
  • Facility Phone: 504 347-1120
  • Facility Type: Other - OFFICE OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: KRISTY ALEXANDER
  • NPI Number: 1851000574
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 19D2303717
LAB Type Other - OFFICE OPIOID TREATMENT
Facility Name BHG LXII, LLC BHG MEDICAL SERVICES LOUISIANA
Street 1141 WHITNEY AVE, BUILDING 4, OBOT ROOM 100
City GRETNA
State LA
ZIP 70056
Phone 504 347-1120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Other - OFFICE OPIOID TREATMENT
Lab Director KRISTY ALEXANDER

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