45D2274595 CLIA NUMBER - OPTIMAL HEALTH PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 45D2274595
  • Facility Name: OPTIMAL HEALTH PRIMARY CARE
  • Facility Address: 2027 61ST STREET (DOWNSTAIRS)
    GALVESTON, TX
    ZIP 77551
  • Facility Phone: 409 789-4022
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH JARAMILLO
  • NPI Number: 1851027262
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2274595
LAB Type Physician Office
Facility Name OPTIMAL HEALTH PRIMARY CARE
Street 2027 61ST STREET (DOWNSTAIRS)
City GALVESTON
State TX
ZIP 77551
Phone 409 789-4022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director ELIZABETH JARAMILLO

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