42D2300239 CLIA NUMBER - BHG LXXX LLC DBA BHG MEDICAL SERVICES - SOUTH CAROLINA

Laboratory Demographics

  • CLIA Code: 42D2300239
  • Facility Name: BHG LXXX LLC DBA BHG MEDICAL SERVICES - SOUTH CAROLINA
  • Facility Address: 410 UNIVERSITY PARKWAY, SUITE 1560, OBOT ROOM #100
    AIKEN, SC
    ZIP 29801
  • Facility Phone: (803) 641-6911
  • Facility Type: Other - OFFICE BASED OPIOID TREAT
  • Facility Type: Waiver
  • Lab Director: CASSIDY JONES
  • NPI Number: 1518671395
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2300239
LAB Type Other - OFFICE BASED OPIOID TREAT
Facility Name BHG LXXX LLC DBA BHG MEDICAL SERVICES - SOUTH CAROLINA
Street 410 UNIVERSITY PARKWAY, SUITE 1560, OBOT ROOM #100
City AIKEN
State SC
ZIP 29801
Phone 8036416911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2026
Certificate Expiration Date 3/5/2028
Facility Type Other - OFFICE BASED OPIOID TREAT
Lab Director CASSIDY JONES

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This page was last updated on: 6/29/2026