34D2295849 CLIA NUMBER - OPTIMAL MAN, PLLC

Laboratory Demographics

CLIA Number: 34D2295849

Facility Name: OPTIMAL MAN, PLLC

Facility Address:
1270 25TH ST. PLACE, SUITE 1
HICKORY, NC
ZIP 28602
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Facility Phone Number: 828 220-3192

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1841066362

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	34D2295849
LAB Type	Practitioner Other
Facility Name	OPTIMAL MAN, PLLC
Street	1270 25TH ST. PLACE, SUITE 1
City	HICKORY
State	NC
ZIP	28602
Phone	828 220-3192
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024