33D1043447 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D1043447
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 340 MONTAUK HIGHWAY
    WEST ISLIP, NY
    ZIP 11795
  • Facility Phone: 631 376-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. SAUMIL H. TRIVEDI
  • NPI Number: 1447304407
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 33D1043447
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 340 MONTAUK HIGHWAY
City WEST ISLIP
State NY
ZIP 11795
Phone 631 376-6000
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. SAUMIL H. TRIVEDI

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