21D2252346 CLIA NUMBER - OPTIMUM MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 21D2252346
  • Facility Name: OPTIMUM MEDICAL GROUP LLC
  • Facility Address: 3240 BELAIR RD
    BALTIMORE, MD
    ZIP 21213
  • Facility Phone: 410 213-5494
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GABRIEL BLESSING
  • NPI Number: 1326655283
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2252346
LAB Type Practitioner Other
Facility Name OPTIMUM MEDICAL GROUP LLC
Street 3240 BELAIR RD
City BALTIMORE
State MD
ZIP 21213
Phone 410 213-5494
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Practitioner Other
Lab Director GABRIEL BLESSING

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