26D2078309 CLIA NUMBER - BHG XXIX, LLC D/B/A BHG POPLAR BLUFF TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 26D2078309
  • Facility Name: BHG XXIX, LLC D/B/A BHG POPLAR BLUFF TREATMENT CENTER
  • Facility Address: 1369 NORTH WESTWOOD BOULEVARD, SUITE C
    POPLAR BLUFF, MO
    ZIP 63901
  • Facility Phone: 573 772-7937
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER THOMASON
  • NPI Number: 1508277229
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2078309
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BHG XXIX, LLC D/B/A BHG POPLAR BLUFF TREATMENT CENTER
Street 1369 NORTH WESTWOOD BOULEVARD, SUITE C
City POPLAR BLUFF
State MO
ZIP 63901
Phone 573 772-7937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director CHRISTOPHER THOMASON

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