34D2288638 CLIA NUMBER - BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA

Laboratory Demographics

  • CLIA Code: 34D2288638
  • Facility Name: BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA
  • Facility Address: 3709 NASH STREET, OBOT ROOM #100
    WILSON, NC
    ZIP 27896
  • Facility Phone: 252 206-5799
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: AMBER LECLERCQ
  • NPI Number: 1770299711
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2288638
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXXI LLC D/B/A BHG MEDICAL SERVICES - NORTH CAROLINA
Street 3709 NASH STREET, OBOT ROOM #100
City WILSON
State NC
ZIP 27896
Phone 252 206-5799
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2025
Certificate Expiration Date 8/28/2027
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director AMBER LECLERCQ

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