10D0932062 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0932062
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 825 W LINEBAUGH AVE
    TAMPA, FL
    ZIP 33612
  • Facility Phone: 813 915-0055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE QUIMBAYO
  • NPI Number: 1245390475
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D0932062
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 825 W LINEBAUGH AVE
City TAMPA
State FL
ZIP 33612
Phone 813 915-0055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2025
Certificate Expiration Date 8/11/2027
Facility Type Physician Office
Lab Director JOSE QUIMBAYO

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