10D1105775 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D1105775
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 5402 BEAUMONT CENTER BLVD - STE 105
    TAMPA, FL
    ZIP 33634
  • Facility Phone: 813 248-8149
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTO ROLON
  • NPI Number: 1225515125
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1105775
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 5402 BEAUMONT CENTER BLVD - STE 105
City TAMPA
State FL
ZIP 33634
Phone 813 248-8149
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director ROBERTO ROLON

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