26D0987082 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 26D0987082
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 8340 N BROADWAY
    SAINT LOUIS, MO
    ZIP 63147
  • Facility Phone: 314 385-9563
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GARY G. GRAY
  • NPI Number: 1982887139
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 26D0987082
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 8340 N BROADWAY
City SAINT LOUIS
State MO
ZIP 63147
Phone 314 385-9563
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director GARY G. GRAY

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