21D2045400 CLIA NUMBER - OPTIMAL MEDICAL CARE INC

Laboratory Demographics

  • CLIA Code: 21D2045400
  • Facility Name: OPTIMAL MEDICAL CARE INC
  • Facility Address: 11119 ROCKVILLE PIKE, SUITE 316
    ROCKVILLE, MD
    ZIP 20852
  • Facility Phone: 301 230-8989
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HOOMAN AZMI
  • NPI Number: 1609146455
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2045400
LAB Type Physician Office
Facility Name OPTIMAL MEDICAL CARE INC
Street 11119 ROCKVILLE PIKE, SUITE 316
City ROCKVILLE
State MD
ZIP 20852
Phone 301 230-8989
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Physician Office
Lab Director DR. HOOMAN AZMI

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