10D1034055 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1034055

Facility Name: CONCENTRA URGENT CARE

Facility Address:
7800 NW 25TH ST STE 4
DORAL, FL
ZIP 33122
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Facility Phone Number: 305 593-2174

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477742179

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1034055
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	7800 NW 25TH ST STE 4
City	DORAL
State	FL
ZIP	33122
Phone	305 593-2174
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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