10D1027629 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1027629

Facility Name: CONCENTRA URGENT CARE

Facility Address:
1210 W SUNRISE BLVD
PLANTATION, FL
ZIP 33323
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Facility Phone Number: 954 474-4403

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1508343609

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D1027629
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 1210 W SUNRISE BLVD
City PLANTATION
State FL
ZIP 33323
Phone 954 474-4403
CertificateType 4
CertificateEffectiveDate 7/6/2022
CertificateExpirationDate 7/5/2024
FacilityType Waiver

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