41D2302948 CLIA NUMBER - BHG LXXIX, LLC D/B/A BHG MEDICAL SERVICES - RHODE ISLAND

Laboratory Demographics

  • CLIA Code: 41D2302948
  • Facility Name: BHG LXXIX, LLC D/B/A BHG MEDICAL SERVICES - RHODE ISLAND
  • Facility Address: 26 VALLEY RD, STE 202, OBOT ROOM 100
    MIDDLETOWN, RI
    ZIP 02842
  • Facility Phone: 401 552-4673
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: MEGHAN MAILLOUX
  • NPI Number: 1235842337
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 41D2302948
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXIX, LLC D/B/A BHG MEDICAL SERVICES - RHODE ISLAND
Street 26 VALLEY RD, STE 202, OBOT ROOM 100
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 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director MEGHAN MAILLOUX

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