41D2143500 CLIA NUMBER - BHG LVII, LLC D/B/A BHG MIDDLETOWN TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 41D2143500
  • Facility Name: BHG LVII, LLC D/B/A BHG MIDDLETOWN TREATMENT CENTER
  • Facility Address: 26 VALLEY ROAD STE 202
    MIDDLETOWN, RI
    ZIP 02842
  • Facility Phone: 401 552-4673
  • Facility Type: Other - SUBSTANCE TREATMENT
  • Facility Type: Waiver
  • Lab Director: MEGHAN MAILLOUX
  • NPI Number: 1356974612
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 41D2143500
LAB Type Other - SUBSTANCE TREATMENT
Facility Name BHG LVII, LLC D/B/A BHG MIDDLETOWN TREATMENT CENTER
Street 26 VALLEY ROAD STE 202
City MIDDLETOWN
State RI
ZIP 02842
Phone 401 552-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Other - SUBSTANCE TREATMENT
Lab Director MEGHAN MAILLOUX

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