33D0155166 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0155166
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 20 ADDISON PLACE STE A
    VALLEY STREAM, NY
    ZIP 11580
  • Facility Phone: 516 537-0920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WENDY LONGO
  • NPI Number: 1891778577
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D0155166
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 20 ADDISON PLACE STE A
City VALLEY STREAM
State NY
ZIP 11580
Phone 516 537-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director DR. WENDY LONGO

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