05D1091688 CLIA NUMBER - CONCENTRA-PLACENTIA

Laboratory Demographics

CLIA Number: 05D1091688

Facility Name: CONCENTRA-PLACENTIA

Facility Address:
640 S PLACENTIA AVE
PLACENTIA, CA
ZIP 92870
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Facility Phone Number: (714) 579-7772

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1538358510

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D1091688
LAB Type	PHYSICIAN OFFICE
Facility Name	CONCENTRA-PLACENTIA
Street	640 S PLACENTIA AVE
City	PLACENTIA
State	CA
ZIP	92870
Phone	(714) 579-7772

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This page was last updated on: 5/11/2023