31D2281673 CLIA NUMBER - BLUECREST COUNSELING CENTER

Laboratory Demographics

  • CLIA Code: 31D2281673
  • Facility Name: BLUECREST COUNSELING CENTER
  • Facility Address: 571 CENTRAL AVE SUITE 108
    NEW PROVIDENCE, NJ
    ZIP 07974
  • Facility Phone: 973 298-5776
  • Facility Type: Other - OUTPT SUBSTANCE ABUSE CLI
  • Facility Type: Waiver
  • Lab Director: JOSEPH GOVERNARA
  • NPI Number: 1225819618
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2281673
LAB Type Other - OUTPT SUBSTANCE ABUSE CLI
Facility Name BLUECREST COUNSELING CENTER
Street 571 CENTRAL AVE SUITE 108
City NEW PROVIDENCE
State NJ
ZIP 07974
Phone 973 298-5776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Other - OUTPT SUBSTANCE ABUSE CLI
Lab Director JOSEPH GOVERNARA

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