11D2293470 CLIA NUMBER - OPTIMAL INTEGRATIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 11D2293470
  • Facility Name: OPTIMAL INTEGRATIVE CARE, LLC
  • Facility Address: 3193 HOWELL MILL ROAD, NW, SUITE 125
    ATLANTA, GA
    ZIP 30327
  • Facility Phone: 404 352-1223
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL ROSENSTOCK
  • NPI Number: 1962187690
  • Taxonomy: 207RI0200X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2293470
LAB Type Physician Office
Facility Name OPTIMAL INTEGRATIVE CARE, LLC
Street 3193 HOWELL MILL ROAD, NW, SUITE 125
City ATLANTA
State GA
ZIP 30327
Phone 404 352-1223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Physician Office
Lab Director JOEL ROSENSTOCK

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