10D2046972 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2046972
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 8950 DR MLK JR STREET N STE 180
    SAINT PETERSBURG, FL
    ZIP 33702
  • Facility Phone: 727 576-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIMARTA BRENNAN-PRESCOD
  • NPI Number: 1790845923
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2046972
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 8950 DR MLK JR STREET N STE 180
City SAINT PETERSBURG
State FL
ZIP 33702
Phone 727 576-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Physician Office
Lab Director SIMARTA BRENNAN-PRESCOD

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