10D1034432 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D1034432
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 1120 10TH ST EAST
    PALMETTO, FL
    ZIP 34221
  • Facility Phone: 941 847-7903
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUZANNE JOHNSON
  • NPI Number: 1780051714
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D1034432
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 1120 10TH ST EAST
City PALMETTO
State FL
ZIP 34221
Phone 941 847-7903
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 SUZANNE JOHNSON

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