20D1044193 CLIA NUMBER - CONCENTRA URGENT CARE - BANGOR

Laboratory Demographics

  • CLIA Code: 20D1044193
  • Facility Name: CONCENTRA URGENT CARE - BANGOR
  • Facility Address: 34 GILMAN ROAD
    BANGOR, ME
    ZIP 04401
  • Facility Phone: 207 941-8300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JANE SULLIVAN-DURAND
  • NPI Number: 1366694804
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 20D1044193
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - BANGOR
Street 34 GILMAN ROAD
City BANGOR
State ME
ZIP 04401
Phone 207 941-8300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2023
Certificate Expiration Date 10/20/2025
Facility Type Physician Office
Lab Director JANE SULLIVAN-DURAND

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