33D0681475 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0681475
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 2110 NORTHERN BOULEVARD
    MANHASSET, NY
    ZIP 11030
  • Facility Phone: 516 627-1811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL R. LOWENTHAL
  • NPI Number: 1073583852
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0681475
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 2110 NORTHERN BOULEVARD
City MANHASSET
State NY
ZIP 11030
Phone 516 627-1811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/31/2024
Certificate Expiration Date 8/30/2026
Facility Type Physician Office
Lab Director DR. MICHAEL R. LOWENTHAL

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