26D2122445 CLIA NUMBER - BHG XLIII, LLC D/B/A BHG NORTHERN SPRINGFIELD TC

Laboratory Demographics

  • CLIA Code: 26D2122445
  • Facility Name: BHG XLIII, LLC D/B/A BHG NORTHERN SPRINGFIELD TC
  • Facility Address: 2551 WEST KEARNEY STREET
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: 417 210-6025
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: DREW FETHERS
  • NPI Number: 1932655313
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2122445
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BHG XLIII, LLC D/B/A BHG NORTHERN SPRINGFIELD TC
Street 2551 WEST KEARNEY STREET
City SPRINGFIELD
State MO
ZIP 65803
Phone 417 210-6025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director DREW FETHERS

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