31D2018319 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2018319
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 1425 BLOOMFIELD STREET
    HOBOKEN, NJ
    ZIP 07030
  • Facility Phone: 201 293-4030
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GAURANG BRAHMBHATT
  • NPI Number: 1972978765
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D2018319
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 1425 BLOOMFIELD STREET
City HOBOKEN
State NJ
ZIP 07030
Phone 201 293-4030
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director GAURANG BRAHMBHATT

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