49D2180612 CLIA NUMBER - BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D2180612
  • Facility Name: BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA
  • Facility Address: 5715 PRINCESS ANNE ROAD, OBOT ROOM 100
    VIRGINIA BEACH, VA
    ZIP 23462
  • Facility Phone: 757 489-1215
  • Facility Type: Other - OFFICE BASED OPIOD TREAT
  • Facility Type: Waiver
  • Lab Director: NOEL BELEN
  • NPI Number: 1306492129
  • Taxonomy: 2084A0401X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 49D2180612
LAB Type Other - OFFICE BASED OPIOD TREAT
Facility Name BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA
Street 5715 PRINCESS ANNE ROAD, OBOT ROOM 100
City VIRGINIA BEACH
State VA
ZIP 23462
Phone 757 489-1215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2024
Certificate Expiration Date 3/17/2026
Facility Type Other - OFFICE BASED OPIOD TREAT
Lab Director NOEL BELEN

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