31D1037839 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

CLIA Number: 31D1037839

Facility Name: OPTUM MEDICAL CARE OF NJ PC

Facility Address:
28 THROCKMORTON LANE
OLD BRIDGE, NJ
ZIP 08857
Get Directions

Facility Phone Number: 732 727-6558

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801843297

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	31D1037839
LAB Type	Physician Office
Facility Name	OPTUM MEDICAL CARE OF NJ PC
Street	28 THROCKMORTON LANE
City	OLD BRIDGE
State	NJ
ZIP	08857
Phone	732 727-6558
CertificateType	4
CertificateEffectiveDate	3/7/2023
CertificateExpirationDate	3/6/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024