10D2160829 CLIA NUMBER - OPTIMAL HEALTH MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D2160829
  • Facility Name: OPTIMAL HEALTH MEDICAL CENTER
  • Facility Address: 17235 NW 27 AVE
    MIAMI GARDENS, FL
    ZIP 33056
  • Facility Phone: 305 705-4024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FANUEL DORILAS
  • NPI Number: 1528526746
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2160829
LAB Type Physician Office
Facility Name OPTIMAL HEALTH MEDICAL CENTER
Street 17235 NW 27 AVE
City MIAMI GARDENS
State FL
ZIP 33056
Phone 305 705-4024
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director FANUEL DORILAS

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