45D2236766 CLIA NUMBER - BLUESTAR DIAGNOSTICS OF PLANO

Laboratory Demographics

  • CLIA Code: 45D2236766
  • Facility Name: BLUESTAR DIAGNOSTICS OF PLANO
  • Facility Address: 720 E PARK BLVD SUITE 102
    PLANO, TX
    ZIP 75074
  • Facility Phone: 469 656-7999
  • Facility Type: Other - DRUG/ALCOHOL COLLECTION
  • Facility Type: Waiver
  • Lab Director: JESEPH G. BOLIN
  • NPI Number: 1902425093
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2236766
LAB Type Other - DRUG/ALCOHOL COLLECTION
Facility Name BLUESTAR DIAGNOSTICS OF PLANO
Street 720 E PARK BLVD SUITE 102
City PLANO
State TX
ZIP 75074
Phone 469 656-7999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Other - DRUG/ALCOHOL COLLECTION
Lab Director JESEPH G. BOLIN

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