10D0926870 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0926870
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 5901 COLONIAL DR STE 301
    MARGATE, FL
    ZIP 33063
  • Facility Phone: 727 824-0780
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ISRAEL PENATE
  • NPI Number: 1144614009
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0926870
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 5901 COLONIAL DR STE 301
City MARGATE
State FL
ZIP 33063
Phone 727 824-0780
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Physician Office
Lab Director ISRAEL PENATE

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