10D0875918 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0875918
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 3675 W WATERS AVE
    TAMPA, FL
    ZIP 33614
  • Facility Phone: 813 915-2000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANCISCO FERNANDEZ RODRIGUEZ
  • NPI Number: 1356737399
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0875918
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 3675 W WATERS AVE
City TAMPA
State FL
ZIP 33614
Phone 813 915-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director FRANCISCO FERNANDEZ RODRIGUEZ

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