21D0958743 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 21D0958743

Facility Name: CONCENTRA URGENT CARE

Facility Address:
1830 YORK RD STE F
TIMONIUM, MD
ZIP 21093
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Facility Phone Number: 410 252-4014

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336305630

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 21D0958743
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 1830 YORK RD STE F
City TIMONIUM
State MD
ZIP 21093
Phone 410 252-4014
CertificateType 4
CertificateEffectiveDate 3/25/2023
CertificateExpirationDate 3/24/2025
FacilityType Waiver

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