16D0879669 CLIA NUMBER - CONCENTRA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 16D0879669
  • Facility Name: CONCENTRA MEDICAL CENTER
  • Facility Address: 11144 AURORA AVENUE
    URBANDALE, IA
    ZIP 50322
  • Facility Phone: 515 278-6868
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS MOE
  • NPI Number: 1558544353
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 16D0879669
LAB Type Physician Office
Facility Name CONCENTRA MEDICAL CENTER
Street 11144 AURORA AVENUE
City URBANDALE
State IA
ZIP 50322
Phone 515 278-6868
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director CARLOS MOE

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