26D2305875 CLIA NUMBER - BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOURI

Laboratory Demographics

  • CLIA Code: 26D2305875
  • Facility Name: BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOURI
  • Facility Address: 2534 CAMPBELL STREE, SUITE B, OBOT ROOM #100
    KANSAS CITY, MO
    ZIP 64108
  • Facility Phone: 816 283-3877
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: CAMMY TESTERMAN
  • NPI Number: 1528779873
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 26D2305875
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXIV, LLC D/B/A BHG MEDICAL SERVICES - MISSOURI
Street 2534 CAMPBELL STREE, SUITE B, OBOT ROOM #100
City KANSAS CITY
State MO
ZIP 64108
Phone 816 283-3877
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director CAMMY TESTERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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