10D0702390 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0702390
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 770 MARTIN LUTHER KING BLVD W
    SEFFNER, FL
    ZIP 33584
  • Facility Phone: 813 654-7005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL ZANE
  • NPI Number: 1023402088
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0702390
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 770 MARTIN LUTHER KING BLVD W
City SEFFNER
State FL
ZIP 33584
Phone 813 654-7005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director MICHAEL ZANE

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