34D2287106 CLIA NUMBER - BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA

Laboratory Demographics

CLIA Number: 34D2287106

Facility Name: BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA

Facility Address:
312 SOUTH ACADEMY STREET, SUITE D, OBOT ROOM #100
AHOSKIE, NC
ZIP 27910
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Facility Phone Number: 828 252-8748

Facility Type: Other - OFFICE BASED OPIOID TREAT

Certificate Type: Waiver

NPI Number: 1841900842

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2287106
LAB Type	Other - OFFICE BASED OPIOID TREAT
Facility Name	BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA
Street	312 SOUTH ACADEMY STREET, SUITE D, OBOT ROOM #100
City	AHOSKIE
State	NC
ZIP	27910
Phone	828 252-8748
CertificateType	4
CertificateEffectiveDate	8/9/2023
CertificateExpirationDate	8/8/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024