44D2241511 CLIA NUMBER - VCPHCS XLIX, LLC DBA BHG MADISON TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 44D2241511
  • Facility Name: VCPHCS XLIX, LLC DBA BHG MADISON TREATMENT CENTER
  • Facility Address: 176 CUDE LANE
    MADISON, TN
    ZIP 37115
  • Facility Phone: 615 281-6757
  • Facility Type: Other - SUBSTANCE ABUSE TREAT CEN
  • Facility Type: Waiver
  • Lab Director: TIFFANY WADE
  • NPI Number: 1306514583
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2241511
LAB Type Other - SUBSTANCE ABUSE TREAT CEN
Facility Name VCPHCS XLIX, LLC DBA BHG MADISON TREATMENT CENTER
Street 176 CUDE LANE
City MADISON
State TN
ZIP 37115
Phone 615 281-6757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Other - SUBSTANCE ABUSE TREAT CEN
Lab Director TIFFANY WADE

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