03D0527898 CLIA NUMBER - OPTUM PRIMARY CARE CAVE CREEK

Laboratory Demographics

  • CLIA Code: 03D0527898
  • Facility Name: OPTUM PRIMARY CARE CAVE CREEK
  • Facility Address: 30845 N CAVE CREEK STE 101
    CAVE CREEK, AZ
    ZIP 85331
  • Facility Phone: 480 488-9220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA OSTROM
  • NPI Number: 1669916607
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D0527898
LAB Type Physician Office
Facility Name OPTUM PRIMARY CARE CAVE CREEK
Street 30845 N CAVE CREEK STE 101
City CAVE CREEK
State AZ
ZIP 85331
Phone 480 488-9220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Physician Office
Lab Director TARA OSTROM

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