15D1024259 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 15D1024259
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 5940 DECATUR BLVD
    INDIANAPOLIS, IN
    ZIP 46241
  • Facility Phone: 317 856-2945
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE COMBELLICK
  • NPI Number: 1164755708
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1024259
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 5940 DECATUR BLVD
City INDIANAPOLIS
State IN
ZIP 46241
Phone 317 856-2945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director JACQUELINE COMBELLICK

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