33D0676011 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0676011
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 53 HARRINGTON AVENUE
    LINDENHURST, NY
    ZIP 11757
  • Facility Phone: 631 226-2600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CARL A. SORANNO
  • NPI Number: 1770635724
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D0676011
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 53 HARRINGTON AVENUE
City LINDENHURST
State NY
ZIP 11757
Phone 631 226-2600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Physician Office
Lab Director DR. CARL A. SORANNO

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