45D2173680 CLIA NUMBER - OPTIMCUREA LLC

Laboratory Demographics

  • CLIA Code: 45D2173680
  • Facility Name: OPTIMCUREA LLC
  • Facility Address: 12234 SHADOW CREEK PKWY STE 5104
    PEARLAND, TX
    ZIP 77584
  • Facility Phone: 281 764-7080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROGER F. CARBAJAL MENDOZA
  • NPI Number: 1942739123
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2173680
LAB Type Physician Office
Facility Name OPTIMCUREA LLC
Street 12234 SHADOW CREEK PKWY STE 5104
City PEARLAND
State TX
ZIP 77584
Phone 281 764-7080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director ROGER F. CARBAJAL MENDOZA

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