33D0994046 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D0994046
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 205 EAST MAIN STREET, SUITE 2-8
    HUNTINGTON, NY
    ZIP 11743
  • Facility Phone: 631 427-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAIME LANZILLOTTA
  • NPI Number: 1033638606
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 33D0994046
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 205 EAST MAIN STREET, SUITE 2-8
City HUNTINGTON
State NY
ZIP 11743
Phone 631 427-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Physician Office
Lab Director DR. JAIME LANZILLOTTA

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