31D2145338 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2145338
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 4201 NEW YORK AVENUE
    UNION CITY, NJ
    ZIP 07087
  • Facility Phone: 201 441-1357
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANWAR AL-HADDAWI
  • NPI Number: 1225576077
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 31D2145338
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 4201 NEW YORK AVENUE
City UNION CITY
State NJ
ZIP 07087
Phone 201 441-1357
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director DR. ANWAR AL-HADDAWI

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