05D2089423 CLIA NUMBER - OPTIMAL WELLNESS PHARMACY

Laboratory Demographics

  • CLIA Code: 05D2089423
  • Facility Name: OPTIMAL WELLNESS PHARMACY
  • Facility Address: 4200 TRABUCO RD STE 190
    IRVINE, CA
    ZIP 92620
  • Facility Phone: 949 949-8613
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHERINE H. DIEP-KWEI, PIC
  • NPI Number: 1518374156
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2089423
LAB Type Pharmacy
Facility Name OPTIMAL WELLNESS PHARMACY
Street 4200 TRABUCO RD STE 190
City IRVINE
State CA
ZIP 92620
Phone 949 949-8613
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2024
Certificate Expiration Date 12/29/2026
Facility Type Pharmacy
Lab Director KATHERINE H. DIEP-KWEI, PIC

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