31D0107806 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D0107806
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 714 10TH STREET
    SECAUCUS, NJ
    ZIP 07094
  • Facility Phone: 201 863-3346
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELY MATHEW
  • NPI Number: 1467694356
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 31D0107806
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 714 10TH STREET
City SECAUCUS
State NJ
ZIP 07094
Phone 201 863-3346
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director MELY MATHEW

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