03D0967920 CLIA NUMBER - OPTUM PRIMARY CARE-MEEKER BLVD

Laboratory Demographics

  • CLIA Code: 03D0967920
  • Facility Name: OPTUM PRIMARY CARE-MEEKER BLVD
  • Facility Address: 14418 W MEEKER BLVD STE 210
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 544-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARA OSTROM
  • NPI Number: 1346347770
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0967920
LAB Type Physician Office
Facility Name OPTUM PRIMARY CARE-MEEKER BLVD
Street 14418 W MEEKER BLVD STE 210
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 544-8400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/9/2024
Certificate Expiration Date 12/8/2026
Facility Type Physician Office
Lab Director TARA OSTROM

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