10D0873057 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0873057
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 4759 US HWY 19
    NEW PORT RICHEY, FL
    ZIP 34652
  • Facility Phone: 727 841-8772
  • Facility Type: Health Main. Organization
  • Facility Type: Waiver
  • Lab Director: SHAMIMARA BORACHI
  • NPI Number: 1063572295
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0873057
LAB Type Health Main. Organization
Facility Name OPTUMCARE FLORIDA LLC
Street 4759 US HWY 19
City NEW PORT RICHEY
State FL
ZIP 34652
Phone 727 841-8772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Health Main. Organization
Lab Director SHAMIMARA BORACHI

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