45D2321862 CLIA NUMBER - OPTIMA EQUIP LLC

Laboratory Demographics

  • CLIA Code: 45D2321862
  • Facility Name: OPTIMA EQUIP LLC
  • Facility Address: 4101 MCEWEN RD STE 368
    DALLAS, TX
    ZIP 75244
  • Facility Phone: 469 880-1339
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: FNU FATIMA BEGUM
  • NPI Number: 1366239519
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 45D2321862
LAB Type Independent
Facility Name OPTIMA EQUIP LLC
Street 4101 MCEWEN RD STE 368
City DALLAS
State TX
ZIP 75244
Phone 469 880-1339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Independent
Lab Director FNU FATIMA BEGUM

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