44D2042986 CLIA NUMBER - VCPHCS XXI, LLC DBA BHG MEMPHIS NORTH TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 44D2042986
  • Facility Name: VCPHCS XXI, LLC DBA BHG MEMPHIS NORTH TREATMENT CENTER
  • Facility Address: 2165 SPICER COVE, SUITE 5
    MEMPHIS, TN
    ZIP 38134
  • Facility Phone: 901 372-7878
  • Facility Type: Other - OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: TONISHA CARRUTHERS
  • NPI Number: 1538505649
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2042986
LAB Type Other - OUTPATIENT TREATMENT
Facility Name VCPHCS XXI, LLC DBA BHG MEMPHIS NORTH TREATMENT CENTER
Street 2165 SPICER COVE, SUITE 5
City MEMPHIS
State TN
ZIP 38134
Phone 901 372-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Other - OUTPATIENT TREATMENT
Lab Director TONISHA CARRUTHERS

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