31D2162465 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2162465
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 10 FIRST STREET
    HACKENSACK, NJ
    ZIP 07601
  • Facility Phone: 201 991-8565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAFFAR RAZA
  • NPI Number: 1316418312
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 31D2162465
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 10 FIRST STREET
City HACKENSACK
State NJ
ZIP 07601
Phone 201 991-8565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director JAFFAR RAZA

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