42D2289039 CLIA NUMBER - BHG LXXX LLC DBA BHG MEDICAL SERVICES-SOUTH CAROLINA

Laboratory Demographics

  • CLIA Code: 42D2289039
  • Facility Name: BHG LXXX LLC DBA BHG MEDICAL SERVICES-SOUTH CAROLINA
  • Facility Address: 2301 COSGROVE AVENUE, SUITE F, OBOT ROOM #100
    NORTH CHARLESTON, SC
    ZIP 29405
  • Facility Phone: 843 529-0700
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: KATHERINE PERRY
  • NPI Number: 1659081644
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2289039
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXX LLC DBA BHG MEDICAL SERVICES-SOUTH CAROLINA
Street 2301 COSGROVE AVENUE, SUITE F, OBOT ROOM #100
City NORTH CHARLESTON
State SC
ZIP 29405
Phone 843 529-0700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director KATHERINE PERRY

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