33D2135617 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2135617
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 7119 13TH AVENUE
    BROOKLYN, NY
    ZIP 11228
  • Facility Phone: 718 880-3060
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. CHRISTOPHER CHIN
  • NPI Number: 1881779213
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2135617
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 7119 13TH AVENUE
City BROOKLYN
State NY
ZIP 11228
Phone 718 880-3060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2023
Certificate Expiration Date 8/23/2025
Facility Type Physician Office
Lab Director DR. CHRISTOPHER CHIN

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This page was last updated on: 3/20/2025