33D0697467 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0697467
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 1 DAKOTA DRIVE, SUITE 310
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 390-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEFFREY N. BERGER
  • NPI Number: 1770530628
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0697467
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 1 DAKOTA DRIVE, SUITE 310
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 390-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Physician Office
Lab Director DR. JEFFREY N. BERGER

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