49D2046912 CLIA NUMBER - OPTIMUM CARE

Laboratory Demographics

  • CLIA Code: 49D2046912
  • Facility Name: OPTIMUM CARE
  • Facility Address: 882 GARRISONVILLE RD
    STAFFORD, VA
    ZIP 22554
  • Facility Phone: 540 318-6464
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAMED KABIRI
  • NPI Number: 1093075798
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2046912
LAB Type Physician Office
Facility Name OPTIMUM CARE
Street 882 GARRISONVILLE RD
City STAFFORD
State VA
ZIP 22554
Phone 540 318-6464
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director HAMED KABIRI

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