10D0858344 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0858344
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 7501 DR MLK JR ST N
    SAINT PETERSBURG, FL
    ZIP 33702
  • Facility Phone: 727 527-6719
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BERNITA SANDS
  • NPI Number: 1922492883
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0858344
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 7501 DR MLK JR ST N
City SAINT PETERSBURG
State FL
ZIP 33702
Phone 727 527-6719
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BERNITA SANDS

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