21D0958743 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 21D0958743
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 1830 YORK RD STE F
    TIMONIUM, MD
    ZIP 21093
  • Facility Phone: 410 252-4014
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARRIE D. DORSEY
  • NPI Number: 1336305630
  • Taxonomy: 261QH0100X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director CARRIE D. DORSEY

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