23D1005200 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 23D1005200

Facility Name: CONCENTRA URGENT CARE

Facility Address:
19200 WEST ROAD
WOODHAVEN, MI
ZIP 48183
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Facility Phone Number: 734 287-3415

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1669723474

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	23D1005200
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	19200 WEST ROAD
City	WOODHAVEN
State	MI
ZIP	48183
Phone	734 287-3415
CertificateType	3
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	PPMP

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