45D1060097 CLIA NUMBER - OPTIMUM BASE SERVICES,INC

Laboratory Demographics

  • CLIA Code: 45D1060097
  • Facility Name: OPTIMUM BASE SERVICES,INC
  • Facility Address: 9535 FOREST LANE, SUITE 118
    DALLAS, TX
    ZIP 75243
  • Facility Phone: 214 340-7900
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: THERESA N. ONYIA
  • NPI Number: 1821141417
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1060097
LAB Type Home Health Agency
Facility Name OPTIMUM BASE SERVICES,INC
Street 9535 FOREST LANE, SUITE 118
City DALLAS
State TX
ZIP 75243
Phone 214 340-7900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Home Health Agency
Lab Director THERESA N. ONYIA

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