26D2305419 CLIA NUMBER - BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOU

Laboratory Demographics

  • CLIA Code: 26D2305419
  • Facility Name: BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOU
  • Facility Address: 2551 WEST KEARNEY STREE, OBOT ROOM #100
    SPRINGFIELD, MO
    ZIP 65803
  • Facility Phone: (417) 210-6025
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: DREW FETHERS
  • NPI Number: 1982314175
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2305419
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOU
Street 2551 WEST KEARNEY STREE, OBOT ROOM #100
City SPRINGFIELD
State MO
ZIP 65803
Phone 4172106025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2026
Certificate Expiration Date 5/29/2028
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director DREW FETHERS

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This page was last updated on: 5/18/2026