10D1074583 CLIA NUMBER - CONCENTRA URGENT CARE - PINECREST

Laboratory Demographics

  • CLIA Code: 10D1074583
  • Facility Name: CONCENTRA URGENT CARE - PINECREST
  • Facility Address: 10205 S DIXIE HWY STE 102
    PINECREST, FL
    ZIP 33156
  • Facility Phone: 305 666-5971
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID MIGUEL SAN
  • NPI Number: 1770719296
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1074583
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - PINECREST
Street 10205 S DIXIE HWY STE 102
City PINECREST
State FL
ZIP 33156
Phone 305 666-5971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Physician Office
Lab Director DAVID MIGUEL SAN

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