33D1068372 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D1068372
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 2800 MARCUS AVENUE, SUITE 202
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 216-1777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LYNN A. HAWKINS
  • NPI Number: 1417074212
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 33D1068372
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 2800 MARCUS AVENUE, SUITE 202
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 216-1777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director DR. LYNN A. HAWKINS

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