31D2174410 CLIA NUMBER - OPTUM MEDICAL CARE OF NJ PC

Laboratory Demographics

  • CLIA Code: 31D2174410
  • Facility Name: OPTUM MEDICAL CARE OF NJ PC
  • Facility Address: 3200 SUNSET AVE, SUITE 100
    OCEAN, NJ
    ZIP 07712
  • Facility Phone: 973 449-9815
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RANDY ROWLANDS
  • NPI Number: 1770783128
  • Taxonomy: 1041C0700X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 31D2174410
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE OF NJ PC
Street 3200 SUNSET AVE, SUITE 100
City OCEAN
State NJ
ZIP 07712
Phone 973 449-9815
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Physician Office
Lab Director RANDY ROWLANDS

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