10D1002800 CLIA NUMBER - WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC DBA OPTUM - NORTH STATE ROAD 7

Laboratory Demographics

  • CLIA Code: 10D1002800
  • Facility Name: WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC DBA OPTUM - NORTH STATE ROAD 7
  • Facility Address: 100 N SR 7 STE 301 A - B
    MARGATE, FL
    ZIP 33063
  • Facility Phone: 954 933-9090
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO P. SIERVO
  • NPI Number: 1881021616
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1002800
LAB Type Physician Office
Facility Name WELLMED MEDICAL MANAGEMENT OF FLORIDA, INC DBA OPTUM - NORTH STATE ROAD 7
Street 100 N SR 7 STE 301 A - B
City MARGATE
State FL
ZIP 33063
Phone 954 933-9090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director MARIO P. SIERVO

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