49D2304142 CLIA NUMBER - BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA

Laboratory Demographics

  • CLIA Code: 49D2304142
  • Facility Name: BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA
  • Facility Address: 6000 JEFFERSON AVENUE, SUITE B OBOT ROOM #100
    NEWPORT NEWS, VA
    ZIP 23605
  • Facility Phone: 757 304-9857
  • Facility Type: Other - OFFICE BASED OPIOD TX
  • Facility Type: Waiver
  • Lab Director: CHRISTINA FAREWELL
  • NPI Number: 1083388664
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2304142
LAB Type Other - OFFICE BASED OPIOD TX
Facility Name BHG LIX, LLC DBA BHG MEDICAL SERVICES VIRGINIA
Street 6000 JEFFERSON AVENUE, SUITE B OBOT ROOM #100
City NEWPORT NEWS
State VA
ZIP 23605
Phone 757 304-9857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Other - OFFICE BASED OPIOD TX
Lab Director CHRISTINA FAREWELL

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This page was last updated on: 3/20/2025