49D2300062 CLIA NUMBER - OPTIMUM HEALTH LLC

Laboratory Demographics

  • CLIA Code: 49D2300062
  • Facility Name: OPTIMUM HEALTH LLC
  • Facility Address: 6354 WALKER LANE, SUITE 350
    ALEXANDRIA, VA
    ZIP 22310
  • Facility Phone: 256 425-4050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON P. GABBERT
  • NPI Number: 1417723545
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 49D2300062
LAB Type Physician Office
Facility Name OPTIMUM HEALTH LLC
Street 6354 WALKER LANE, SUITE 350
City ALEXANDRIA
State VA
ZIP 22310
Phone 256 425-4050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Physician Office
Lab Director ALLISON P. GABBERT

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