31D0667397 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D0667397
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 870 PALISADES AVENUE, SUITE 201
    TEANECK, NJ
    ZIP 07666
  • Facility Phone: 201 692-1661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DORA SULDAN MD
  • NPI Number: 1730106196
  • Taxonomy: 207QS0010X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 31D0667397
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 870 PALISADES AVENUE, SUITE 201
City TEANECK
State NJ
ZIP 07666
Phone 201 692-1661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director DORA SULDAN MD

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