31D2143954 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2143954
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 7505 BERGENLINE AVENUE
    NORTH BERGEN, NJ
    ZIP 07047
  • Facility Phone: 201 869-0037
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BASIL ABDELJABER
  • NPI Number: 1841737053
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2143954
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 7505 BERGENLINE AVENUE
City NORTH BERGEN
State NJ
ZIP 07047
Phone 201 869-0037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director BASIL ABDELJABER

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