44D2057546 CLIA NUMBER - VCPHCS XVII, LLC DBA BHG COLUMBIA TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 44D2057546
  • Facility Name: VCPHCS XVII, LLC DBA BHG COLUMBIA TREATMENT CENTER
  • Facility Address: 1202 S JAMES M CAMPBELL BOULEVARD,SUITE 7A
    COLUMBIA, TN
    ZIP 38401
  • Facility Phone: 931 381-0020
  • Facility Type: Other - OUTPATIENT TREATMENT
  • Facility Type: Waiver
  • Lab Director: BRANDON BASS
  • NPI Number: 1508202524
  • Taxonomy: 261QR0405X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 44D2057546
LAB Type Other - OUTPATIENT TREATMENT
Facility Name VCPHCS XVII, LLC DBA BHG COLUMBIA TREATMENT CENTER
Street 1202 S JAMES M CAMPBELL BOULEVARD,SUITE 7A
City COLUMBIA
State TN
ZIP 38401
Phone 931 381-0020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Other - OUTPATIENT TREATMENT
Lab Director BRANDON BASS

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