33D2129891 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2129891
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 1 DAKOTA DRIVE, SUITE 220
    LAKE SUCCESS, NY
    ZIP 11042
  • Facility Phone: 516 608-2890
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LAWRENCE D. SHULMAN
  • NPI Number: 1053190595
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D2129891
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 1 DAKOTA DRIVE, SUITE 220
City LAKE SUCCESS
State NY
ZIP 11042
Phone 516 608-2890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Physician Office
Lab Director DR. LAWRENCE D. SHULMAN

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