10D0675080 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0675080
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 1989 W LUMSDEN RD
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 653-3111
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: BRUNILDA NAZARIO
  • NPI Number: 1558739847
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0675080
LAB Type Other
Facility Name OPTUMCARE FLORIDA LLC
Street 1989 W LUMSDEN RD
City BRANDON
State FL
ZIP 33511
Phone 813 653-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Other
Lab Director BRUNILDA NAZARIO

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