10D1102312 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1102312

Facility Name: CONCENTRA URGENT CARE

Facility Address:
7209 ADAMO DR
TAMPA, FL
ZIP 33619
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Facility Phone Number: 813 490-0099

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568949493

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D1102312
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	7209 ADAMO DR
City	TAMPA
State	FL
ZIP	33619
Phone	813 490-0099
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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