07D2027167 CLIA NUMBER - OPTIMUM MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 07D2027167
  • Facility Name: OPTIMUM MEDICAL LLC
  • Facility Address: 48 MAIN ST
    DANBURY, CT
    ZIP 06810
  • Facility Phone: 203 794-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUES ETIENNE
  • NPI Number: 1720215346
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 07D2027167
LAB Type Physician Office
Facility Name OPTIMUM MEDICAL LLC
Street 48 MAIN ST
City DANBURY
State CT
ZIP 06810
Phone 203 794-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director JACQUES ETIENNE

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