31D2011572 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2011572
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 4000 ROUTE 66 - SUITE 125
    TINTON FALLS, NJ
    ZIP 07753
  • Facility Phone: 732 922-2105
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA PERRIL
  • NPI Number: 1154636751
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2011572
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 4000 ROUTE 66 - SUITE 125
City TINTON FALLS
State NJ
ZIP 07753
Phone 732 922-2105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director REBECCA PERRIL

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