10D1063577 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D1063577
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 1524 NORMANDY VILLAGE PARKWAY
    JACKSONVILLE, FL
    ZIP 32221
  • Facility Phone: 904 482-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAKAYA JONES
  • NPI Number: 1730368366
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1063577
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 1524 NORMANDY VILLAGE PARKWAY
City JACKSONVILLE
State FL
ZIP 32221
Phone 904 482-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director TAKAYA JONES

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This page was last updated on: 9/29/2025