15D2077971 CLIA NUMBER - CONCENTRA URGENT CARE

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Laboratory Demographics

CLIA Number: 15D2077971

Facility Name: CONCENTRA URGENT CARE

Facility Address:
11580 OVERLOOK DR, STE 100
FISHERS, IN
ZIP 46037
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Facility Phone Number: 317 845-5425

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1942796883

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	15D2077971
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	11580 OVERLOOK DR, STE 100
City	FISHERS
State	IN
ZIP	46037
Phone	317 845-5425
CertificateType	4
CertificateEffectiveDate	5/20/2022
CertificateExpirationDate	5/19/2024
FacilityType	Waiver

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