21D2299853 CLIA NUMBER - BHG LXVIII LLC DBA BHG MEDICAL SERVICES MARYLAND

Laboratory Demographics

  • CLIA Code: 21D2299853
  • Facility Name: BHG LXVIII LLC DBA BHG MEDICAL SERVICES MARYLAND
  • Facility Address: 217 EAST ANTIETAM ST OBOT ROOM 100
    HAGERSTOWN, MD
    ZIP 21740
  • Facility Phone: 240 420-0000
  • Facility Type: Other - OFFICE BASED OPIOD TX
  • Facility Type: Waiver
  • Lab Director: CAMERON DUFFY
  • NPI Number: 1730866112
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2299853
LAB Type Other - OFFICE BASED OPIOD TX
Facility Name BHG LXVIII LLC DBA BHG MEDICAL SERVICES MARYLAND
Street 217 EAST ANTIETAM ST OBOT ROOM 100
City HAGERSTOWN
State MD
ZIP 21740
Phone 240 420-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2024
Certificate Expiration Date 2/27/2026
Facility Type Other - OFFICE BASED OPIOD TX
Lab Director CAMERON DUFFY

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