26D2002164 CLIA NUMBER - VCPHCS XV, LLC DBA BHG JOPLIN TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 26D2002164
  • Facility Name: VCPHCS XV, LLC DBA BHG JOPLIN TREATMENT CENTER
  • Facility Address: 2919 EAST 4TH STREET
    JOPLIN, MO
    ZIP 64801
  • Facility Phone: 417 782-7966
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: LISA MCCALLISTER
  • NPI Number: 1144666264
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2002164
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name VCPHCS XV, LLC DBA BHG JOPLIN TREATMENT CENTER
Street 2919 EAST 4TH STREET
City JOPLIN
State MO
ZIP 64801
Phone 417 782-7966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director LISA MCCALLISTER

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