10D1105775 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 10D1105775

Facility Name: CONCENTRA URGENT CARE

Facility Address:
5402 BEAUMONT CENTER BLVD - STE 105
TAMPA, FL
ZIP 33634
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Facility Phone Number: 813 248-8149

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1225515125

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Waiver

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