15D1026635 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 15D1026635
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 6423 COLUMBIA AVE STE A
    HAMMOND, IN
    ZIP 46320
  • Facility Phone: 219 937-3632
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIE STEWART
  • NPI Number: 1376728667
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1026635
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 6423 COLUMBIA AVE STE A
City HAMMOND
State IN
ZIP 46320
Phone 219 937-3632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2024
Certificate Expiration Date 6/9/2026
Facility Type Physician Office
Lab Director WILLIE STEWART

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