31D2096446 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2096446
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 935 RIVER ROAD
    EDGEWATER, NJ
    ZIP 07020
  • Facility Phone: 201 699-0448
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANCA TOMSA
  • NPI Number: 1558555888
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 31D2096446
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 935 RIVER ROAD
City EDGEWATER
State NJ
ZIP 07020
Phone 201 699-0448
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Physician Office
Lab Director ANCA TOMSA

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