33D0984077 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0984077
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 1800 ROCKAWAY AVENUE, SUITE 201
    HEWLETT, NY
    ZIP 11557
  • Facility Phone: 516 593-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW T. MARSHALL
  • NPI Number: 1710222096
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0984077
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 1800 ROCKAWAY AVENUE, SUITE 201
City HEWLETT
State NY
ZIP 11557
Phone 516 593-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. ANDREW T. MARSHALL

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