10D0892716 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D0892716

Facility Name: CONCENTRA URGENT CARE

Facility Address:
8119 S ORANGE AVE
ORLANDO, FL
ZIP 32809
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Facility Phone Number: 407 851-0883

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659858660

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D0892716
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	8119 S ORANGE AVE
City	ORLANDO
State	FL
ZIP	32809
Phone	407 851-0883
CertificateType	4
CertificateEffectiveDate	10/5/2022
CertificateExpirationDate	10/4/2024
FacilityType	Waiver

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