39D2313069 CLIA NUMBER - OPTIMAL PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 39D2313069
  • Facility Name: OPTIMAL PRIMARY CARE LLC
  • Facility Address: 6408 MULBERRY LANE
    MACUNGIE, PA
    ZIP 18062
  • Facility Phone: 610 864-6947
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JASON L. CHERTOFF
  • NPI Number: 1245064351
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 39D2313069
LAB Type Physician Office
Facility Name OPTIMAL PRIMARY CARE LLC
Street 6408 MULBERRY LANE
City MACUNGIE
State PA
ZIP 18062
Phone 610 864-6947
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director DR. JASON L. CHERTOFF

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