49D2152702 CLIA NUMBER - BHG XLII, LLC DBA BHG CHESAPEAKE SOUTH TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 49D2152702
  • Facility Name: BHG XLII, LLC DBA BHG CHESAPEAKE SOUTH TREATMENT CENTER
  • Facility Address: 109 WIMBLEDON SQUARE, SUITE H
    CHESAPEAKE, VA
    ZIP 23320
  • Facility Phone: 757 410-8244
  • Facility Type: Other - OUTPT OPIOID TREATMENT
  • Facility Type: Waiver
  • Lab Director: FRANKLIN JONES
  • NPI Number: 1922584366
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2152702
LAB Type Other - OUTPT OPIOID TREATMENT
Facility Name BHG XLII, LLC DBA BHG CHESAPEAKE SOUTH TREATMENT CENTER
Street 109 WIMBLEDON SQUARE, SUITE H
City CHESAPEAKE
State VA
ZIP 23320
Phone 757 410-8244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Other - OUTPT OPIOID TREATMENT
Lab Director FRANKLIN JONES

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