10D2291110 CLIA NUMBER - OPTIMAL FAMILY HEALTH, INC

Laboratory Demographics

CLIA Number: 10D2291110

Facility Name: OPTIMAL FAMILY HEALTH, INC

Facility Address:
7984 FOREST CITY ROAD, STE 105
ORLANDO, FL
ZIP 32810
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Facility Phone Number: 407 620-8443

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1407537954

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2291110
LAB Type	Practitioner Other
Facility Name	OPTIMAL FAMILY HEALTH, INC
Street	7984 FOREST CITY ROAD, STE 105
City	ORLANDO
State	FL
ZIP	32810
Phone	407 620-8443
CertificateType	4
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024