23D1005199 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 23D1005199

Facility Name: CONCENTRA URGENT CARE

Facility Address:
42875 GRAND RIVER AVENUE SUITE 101
NOVI, MI
ZIP 48375
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Facility Phone Number: 248 478-1616

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104263086

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1005199
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	42875 GRAND RIVER AVENUE SUITE 101
City	NOVI
State	MI
ZIP	48375
Phone	248 478-1616
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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