10D2328719 CLIA NUMBER - OPTIMAL CARE PEDIATRICS DBA OPTIMAL CARE FAMILY HEALTH

Laboratory Demographics

  • CLIA Code: 10D2328719
  • Facility Name: OPTIMAL CARE PEDIATRICS DBA OPTIMAL CARE FAMILY HEALTH
  • Facility Address: 150 SW CHAMBER CT, STE 205
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 772 301-0123
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MONIQUE MONDESIR
  • NPI Number: 1861909384
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2328719
LAB Type Physician Office
Facility Name OPTIMAL CARE PEDIATRICS DBA OPTIMAL CARE FAMILY HEALTH
Street 150 SW CHAMBER CT, STE 205
City PORT SAINT LUCIE
State FL
ZIP 34986
Phone 772 301-0123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director MONIQUE MONDESIR

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