07D1003965 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 07D1003965

Facility Name: CONCENTRA URGENT CARE

Facility Address:
1080 DAY HILL ROAD
WINDSOR, CT
ZIP 06095
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Facility Phone Number: 860 298-8442

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225280761

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	07D1003965
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	1080 DAY HILL ROAD
City	WINDSOR
State	CT
ZIP	06095
Phone	860 298-8442
CertificateType	4
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	Waiver

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