31D0994829 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D0994829
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 2100 CORLIES AVENUE SUITE 7
    NEPTUNE, NJ
    ZIP 07753
  • Facility Phone: 732 776-9776
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOOKMAN K. ODEJOBI
  • NPI Number: 1295951986
  • Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 31D0994829
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 2100 CORLIES AVENUE SUITE 7
City NEPTUNE
State NJ
ZIP 07753
Phone 732 776-9776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Physician Office
Lab Director LOOKMAN K. ODEJOBI

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