52D2164575 CLIA NUMBER - OPTIMAL HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 52D2164575
  • Facility Name: OPTIMAL HEALTH AND WELLNESS
  • Facility Address: 515 S BLVD SUITE C
    BARABOO, WI
    ZIP 53913
  • Facility Phone: 608 844-0496
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. BRANDI D. ZIMBELMAN
  • NPI Number: 1093309759
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 52D2164575
LAB Type Practitioner Other
Facility Name OPTIMAL HEALTH AND WELLNESS
Street 515 S BLVD SUITE C
City BARABOO
State WI
ZIP 53913
Phone 608 844-0496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Practitioner Other
Lab Director MS. BRANDI D. ZIMBELMAN

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