36D2162877 CLIA NUMBER - OPTIMUM CARDIOLOGY, INC

Laboratory Demographics

  • CLIA Code: 36D2162877
  • Facility Name: OPTIMUM CARDIOLOGY, INC
  • Facility Address: 4825 HIGBEE AVENUE NW SUITE 102
    CANTON, OH
    ZIP 44718
  • Facility Phone: 330 492-2102
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID J. UTLAK
  • NPI Number: 1982168100
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2162877
LAB Type Physician Office
Facility Name OPTIMUM CARDIOLOGY, INC
Street 4825 HIGBEE AVENUE NW SUITE 102
City CANTON
State OH
ZIP 44718
Phone 330 492-2102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director DAVID J. UTLAK

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