10D2122798 CLIA NUMBER - OPTUMCARE FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2122798
  • Facility Name: OPTUMCARE FLORIDA LLC
  • Facility Address: 2415 UNIVERSITY PKWY BLDG 3 SUITE 112
    SARASOTA, FL
    ZIP 34243
  • Facility Phone: 941 210-4570
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH MOUSSA
  • NPI Number: 1659884294
  • Taxonomy: 208M00000X - Hospitalist

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CLIA Record

Field Name Field Value
CLIA Number 10D2122798
LAB Type Physician Office
Facility Name OPTUMCARE FLORIDA LLC
Street 2415 UNIVERSITY PKWY BLDG 3 SUITE 112
City SARASOTA
State FL
ZIP 34243
Phone 941 210-4570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Physician Office
Lab Director JOSEPH MOUSSA

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