31D0915723 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D0915723
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 831 TENNENT RD
    MANALAPAN, NJ
    ZIP 07726
  • Facility Phone: 732 536-6222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LAUREN SULLIVAN
  • NPI Number: 1275566861
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 31D0915723
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 831 TENNENT RD
City MANALAPAN
State NJ
ZIP 07726
Phone 732 536-6222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director LAUREN SULLIVAN

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