31D2102837 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

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Field Name	Field Value
CLIA Number	31D2102837
LAB Type	Physician Office
Facility Name	OPTUM MEDICAL CARE OF NJ PC
Street	228 FRANKLIN AVENUE
City	NUTLEY
State	NJ
ZIP	07110
Phone	973 542-2447
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	9/30/2025
Certificate Expiration Date	9/29/2027
Facility Type	Physician Office
Lab Director	RAKSHA GUPTA

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