21D0897544 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 21D0897544
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 1833 PORTAL STREET
    BALTIMORE, MD
    ZIP 21224
  • Facility Phone: 410 633-3600
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: SEAN DUFFY
  • NPI Number: 1629234919
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0897544
LAB Type Industrial
Facility Name CONCENTRA URGENT CARE
Street 1833 PORTAL STREET
City BALTIMORE
State MD
ZIP 21224
Phone 410 633-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2023
Certificate Expiration Date 4/4/2025
Facility Type Industrial
Lab Director SEAN DUFFY

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This page was last updated on: 3/20/2025