33D2199230 CLIA NUMBER - OPTUM MEDICAL CARE PC

Laboratory Demographics

  • CLIA Code: 33D2199230
  • Facility Name: OPTUM MEDICAL CARE PC
  • Facility Address: 4045 HEMPSTEAD TPKE, SUITE 202D 2ND FLOOR
    BETHPAGE, NY
    ZIP 11714
  • Facility Phone: 516 731-5740
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA K. BUGLINO
  • NPI Number: 1417736109
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 33D2199230
LAB Type Physician Office
Facility Name OPTUM MEDICAL CARE PC
Street 4045 HEMPSTEAD TPKE, SUITE 202D 2ND FLOOR
City BETHPAGE
State NY
ZIP 11714
Phone 516 731-5740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director DR. LISA K. BUGLINO

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