31D2274314 CLIA NUMBER - BLUE STAR RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 31D2274314
  • Facility Name: BLUE STAR RECOVERY LLC
  • Facility Address: 1 BETHANY ROAD BLDG 3 SUITE 43-47
    HAZLET, NJ
    ZIP 07730
  • Facility Phone: 718 737-1547
  • Facility Type: Other - SUBSTANCE USE FACILITY
  • Facility Type: Waiver
  • Lab Director: MARIYA RUDIN
  • NPI Number: 1013735851
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2274314
LAB Type Other - SUBSTANCE USE FACILITY
Facility Name BLUE STAR RECOVERY LLC
Street 1 BETHANY ROAD BLDG 3 SUITE 43-47
City HAZLET
State NJ
ZIP 07730
Phone 718 737-1547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Other - SUBSTANCE USE FACILITY
Lab Director MARIYA RUDIN

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