41D2188247 CLIA NUMBER - BHG LVII, LLC DBA BHG PAWTUCKET TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 41D2188247
  • Facility Name: BHG LVII, LLC DBA BHG PAWTUCKET TREATMENT CENTER
  • Facility Address: 82 POND STREET
    PAWTUCKET, RI
    ZIP 02860
  • Facility Phone: 401 727-1287
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: RANDY RAUSO
  • NPI Number: 1306479670
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2188247
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name BHG LVII, LLC DBA BHG PAWTUCKET TREATMENT CENTER
Street 82 POND STREET
City PAWTUCKET
State RI
ZIP 02860
Phone 401 727-1287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director RANDY RAUSO

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