49D2118621 CLIA NUMBER - BHG XLII, LLC DBA BHG VIRGINIA BEACH TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 49D2118621
  • Facility Name: BHG XLII, LLC DBA BHG VIRGINIA BEACH TREATMENT CENTER
  • Facility Address: 5715 PRINCESS ANNE ROAD
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 962-0748
  • Facility Type: Other - OUTPATIENT OPIOID CENTER
  • Facility Type: Waiver
  • Lab Director: ANGELIA CLARK
  • NPI Number: 1003362484
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2118621
LAB Type Other - OUTPATIENT OPIOID CENTER
Facility Name BHG XLII, LLC DBA BHG VIRGINIA BEACH TREATMENT CENTER
Street 5715 PRINCESS ANNE ROAD
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 962-0748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Other - OUTPATIENT OPIOID CENTER
Lab Director ANGELIA CLARK

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