33D0157330 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0157330
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 200 WEST CARVER STREET, #5
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 423-5070
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARK DOBRINER
  • NPI Number: 1174302871
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D0157330
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 200 WEST CARVER STREET, #5
City HUNTINGTON
State NY
ZIP 11743
Phone 631 423-5070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director DR. MARK DOBRINER

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