16D0879906 CLIA NUMBER - CONCENTRA URGENT CARE - DIXON

Laboratory Demographics

CLIA Number: 16D0879906

Facility Name: CONCENTRA URGENT CARE - DIXON

Facility Address:
2100 DIXON, SUITE E
DES MOINES, IA
ZIP 50316
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Facility Phone Number: 515 265-1020

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922281724

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 16D0879906
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - DIXON
Street 2100 DIXON, SUITE E
City DES MOINES
State IA
ZIP 50316
Phone 515 265-1020
CertificateType 4
CertificateEffectiveDate 12/3/2023
CertificateExpirationDate 12/2/2025
FacilityType Waiver

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