44D2232682 CLIA NUMBER - WELLNESS AMBULATORY CARE INC DBA BHG MED SRV-MURFREESBORO

Laboratory Demographics

CLIA Number: 44D2232682

Facility Name: WELLNESS AMBULATORY CARE INC DBA BHG MED SRV-MURFREESBORO

Facility Address:
630 BROADMOR BOULEVARD, SUITE 160, CLIA ROOM #1
MURFREESBORO, TN
ZIP 37129
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Facility Phone Number: 615 281-6844

Facility Type: Other - OPIOID TREATMENT

Certificate Type: Waiver

NPI Number: 1760052963

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2232682
LAB Type	Other - OPIOID TREATMENT
Facility Name	WELLNESS AMBULATORY CARE INC DBA BHG MED SRV-MURFREESBORO
Street	630 BROADMOR BOULEVARD, SUITE 160, CLIA ROOM #1
City	MURFREESBORO
State	TN
ZIP	37129
Phone	615 281-6844
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024