42D2300237 CLIA NUMBER - BHG LXXX DBA BHG MEDICAL SERVICES - SOUTH CAROLINA

Laboratory Demographics

  • CLIA Code: 42D2300237
  • Facility Name: BHG LXXX DBA BHG MEDICAL SERVICES - SOUTH CAROLINA
  • Facility Address: 239 ACCESS ROAD, OBOT ROOM #100
    SPARTANBURG, SC
    ZIP 29303
  • Facility Phone: 864 503-0207
  • Facility Type: Other - OFFICE BASED OPIOD TREATM
  • Facility Type: Waiver
  • Lab Director: AMY SHAW
  • NPI Number: 1932812039
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2300237
LAB Type Other - OFFICE BASED OPIOD TREATM
Facility Name BHG LXXX DBA BHG MEDICAL SERVICES - SOUTH CAROLINA
Street 239 ACCESS ROAD, OBOT ROOM #100
City SPARTANBURG
State SC
ZIP 29303
Phone 864 503-0207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Other - OFFICE BASED OPIOD TREATM
Lab Director AMY SHAW

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