33D2042062 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2042062
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 4277 HEMPSTEAD TURNPIKE, SUITE 200
    BETHPAGE, NY
    ZIP 11714
  • Facility Phone: 516 796-4340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL GOLIA
  • NPI Number: 1295743029
  • Taxonomy: 2085U0001X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 33D2042062
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 4277 HEMPSTEAD TURNPIKE, SUITE 200
City BETHPAGE
State NY
ZIP 11714
Phone 516 796-4340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2024
Certificate Expiration Date 6/4/2026
Facility Type Physician Office
Lab Director DR. MICHAEL GOLIA

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