Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Optimum Faith Lab Corp

Organization Clinical Medical Laboratory · NPI 1245772748

Optimum Faith Lab Corp is a Clinical Medical Laboratory in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1360 N Green Bay Rd
Waukegan, IL 60085-1104
Phone: (224) 610-0434
Fax: (855) 325-1872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (IL)

Record details

NPI number1245772748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Opal Mullings — Manager · (224) 610-0434
NPI enumeratedNovember 15, 2016
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address1360 N Green Bay Rd, Waukegan, IL 60085-1104

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