05D1008535 CLIA NUMBER - CONCENTRA URGENT CARE - MISSION VALLEY

Laboratory Demographics

CLIA Number: 05D1008535

Facility Name: CONCENTRA URGENT CARE - MISSION VALLEY

Facility Address:
5333 MISSION CENTER RD STE 100
SAN DIEGO, CA
ZIP 92108
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Facility Phone Number: 619 295-3355

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598214892

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1008535
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE - MISSION VALLEY
Street	5333 MISSION CENTER RD STE 100
City	SAN DIEGO
State	CA
ZIP	92108
Phone	619 295-3355
CertificateType	4
CertificateEffectiveDate	10/25/2023
CertificateExpirationDate	10/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024