10D0947910 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D0947910
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 781 CYPRESS VILLAGE BLVD
    SUN CITY CENTER, FL
    ZIP 33573
  • Facility Phone: 813 633-3600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADRIANA CARBON
  • NPI Number: 1437496882
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D0947910
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 781 CYPRESS VILLAGE BLVD
City SUN CITY CENTER
State FL
ZIP 33573
Phone 813 633-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director ADRIANA CARBON

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