49D2117002 CLIA NUMBER - OPTIMUM CARE HOME CARE SERVICES

Laboratory Demographics

  • CLIA Code: 49D2117002
  • Facility Name: OPTIMUM CARE HOME CARE SERVICES
  • Facility Address: 2200 OPITZ BOULEVARD #210
    WOODBRIDGE, VA
    ZIP 22191
  • Facility Phone: 703 490-8003
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANIM ADDO SAMPONG
  • NPI Number: 1336487537
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 49D2117002
LAB Type Home Health Agency
Facility Name OPTIMUM CARE HOME CARE SERVICES
Street 2200 OPITZ BOULEVARD #210
City WOODBRIDGE
State VA
ZIP 22191
Phone 703 490-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Home Health Agency
Lab Director ANIM ADDO SAMPONG

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