26D2305924 CLIA NUMBER - BHG LXXIV, LLC DBA BHG MEDICAL SERVICES-MISSOURI

Laboratory Demographics

  • CLIA Code: 26D2305924
  • Facility Name: BHG LXXIV, LLC DBA BHG MEDICAL SERVICES-MISSOURI
  • Facility Address: 2913 EAST 4TH STREET, OBOT ROOM #100
    JOPLIN, MO
    ZIP 64801
  • Facility Phone: (417) 782-7966
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: LISA MCCALLISTER
  • NPI Number: 1437860772
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D2305924
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXIV, LLC DBA BHG MEDICAL SERVICES-MISSOURI
Street 2913 EAST 4TH STREET, OBOT ROOM #100
City JOPLIN
State MO
ZIP 64801
Phone 4177827966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2026
Certificate Expiration Date 6/6/2028
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director LISA MCCALLISTER

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