36D2147262 CLIA NUMBER - BLUE STAR HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 36D2147262
  • Facility Name: BLUE STAR HOME CARE, LLC
  • Facility Address: 15644 MADISON AVE SUITE 106
    LAKEWOOD, OH
    ZIP 44107
  • Facility Phone: 216 505-5789
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABDULLAHI ALI
  • NPI Number: 1720510381
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2147262
LAB Type Home Health Agency
Facility Name BLUE STAR HOME CARE, LLC
Street 15644 MADISON AVE SUITE 106
City LAKEWOOD
State OH
ZIP 44107
Phone 216 505-5789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Home Health Agency
Lab Director ABDULLAHI ALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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