10D1063577 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1063577

Facility Name: CONCENTRA URGENT CARE

Facility Address:
1524 NORMANDY VILLAGE PARKWAY
JACKSONVILLE, FL
ZIP 32221
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Facility Phone Number: 904 482-1400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730368366

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	4/10/2024
CertificateExpirationDate	4/9/2026
FacilityType	Waiver

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