22D2301023 CLIA NUMBER - NORTHSTAR RECOVERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 22D2301023
  • Facility Name: NORTHSTAR RECOVERY CENTER, LLC
  • Facility Address: 1319 RIVERDALE STREET
    WEST SPRINGFIELD, MA
    ZIP 01089
  • Facility Phone: 888 311-0911
  • Facility Type: Other - SUD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: SAMUEL B. LOCKARD
  • NPI Number: 1316616105
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 22D2301023
LAB Type Other - SUD TREATMENT FACILITY
Facility Name NORTHSTAR RECOVERY CENTER, LLC
Street 1319 RIVERDALE STREET
City WEST SPRINGFIELD
State MA
ZIP 01089
Phone 888 311-0911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Other - SUD TREATMENT FACILITY
Lab Director SAMUEL B. LOCKARD

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