40D2149570 CLIA NUMBER - OPTIMA INFUSION PHARMACY INC

Laboratory Demographics

CLIA Number: 40D2149570

Facility Name: OPTIMA INFUSION PHARMACY INC

Facility Address:
CARR # 2 KM 26, HM 2, BO ESPINOSA
DORADO, PR
ZIP 00646
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Facility Phone Number: 787 883-5959

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1063525210

Taxonomy: 333600000X - Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

CLIA Record

Field Name	Field Value
CLIA Number	40D2149570
LAB Type	Home Health Agency
Facility Name	OPTIMA INFUSION PHARMACY INC
Street	CARR # 2 KM 26, HM 2, BO ESPINOSA
City	DORADO
State	PR
ZIP	00646
Phone	787 883-5959
CertificateType	4
CertificateEffectiveDate	6/6/2022
CertificateExpirationDate	6/5/2024
FacilityType	Waiver

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