10D1034428 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D1034428
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 5534 CORTEZ ROAD WEST
    BRADENTON, FL
    ZIP 34210
  • Facility Phone: 941 757-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIKI DERRICK
  • NPI Number: 1972997823
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1034428
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 5534 CORTEZ ROAD WEST
City BRADENTON
State FL
ZIP 34210
Phone 941 757-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Physician Office
Lab Director NIKI DERRICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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