10D1041068 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1041068

Facility Name: CONCENTRA URGENT CARE

Facility Address:
4455 MEDICAL CTR WAY
WEST PALM BEACH, FL
ZIP 33407
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Facility Phone Number: 561 881-0066

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1578744702

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1041068
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	4455 MEDICAL CTR WAY
City	WEST PALM BEACH
State	FL
ZIP	33407
Phone	561 881-0066
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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