03D2275801 CLIA NUMBER - OPTIMAL MEN'S CENTER

Laboratory Demographics

  • CLIA Code: 03D2275801
  • Facility Name: OPTIMAL MEN'S CENTER
  • Facility Address: 8190 W UNION HILLS DR STE 145
    GLENDALE, AZ
    ZIP 85308
  • Facility Phone: 602 678-4625
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TRENT W. KNIGHT
  • NPI Number: 1811535974
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2275801
LAB Type Practitioner Other
Facility Name OPTIMAL MEN'S CENTER
Street 8190 W UNION HILLS DR STE 145
City GLENDALE
State AZ
ZIP 85308
Phone 602 678-4625
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Practitioner Other
Lab Director TRENT W. KNIGHT

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