05D0580520 CLIA NUMBER - OPTUM CARE MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D0580520

Facility Name: OPTUM CARE MEDICAL GROUP

Facility Address:
26991 CROWN VALLEY PARKWAY
MISSION VIEJO, CA
ZIP 92691
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Facility Phone Number: (949) 923-3272

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0580520
LAB Type	PHYSICIAN OFFICE
Facility Name	OPTUM CARE MEDICAL GROUP
Street	26991 CROWN VALLEY PARKWAY
City	MISSION VIEJO
State	CA
ZIP	92691
Phone	(949) 923-3272

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This page was last updated on: 5/11/2023