11D2303149 CLIA NUMBER - OPTIMUM DIAGNOSTIC LABORATORY, LLC

Laboratory Demographics

  • CLIA Code: 11D2303149
  • Facility Name: OPTIMUM DIAGNOSTIC LABORATORY, LLC
  • Facility Address: 10500 ABERCORN STREET, UNIT A
    SAVANNAH, GA
    ZIP 31419
  • Facility Phone: 800 588-3410
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ELEANOR QUARTERMAN
  • NPI Number: 1245082536
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 11D2303149
LAB Type Mobile Laboratory
Facility Name OPTIMUM DIAGNOSTIC LABORATORY, LLC
Street 10500 ABERCORN STREET, UNIT A
City SAVANNAH
State GA
ZIP 31419
Phone 800 588-3410
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Mobile Laboratory
Lab Director ELEANOR QUARTERMAN

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