26D2132157 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 26D2132157

Facility Name: CONCENTRA URGENT CARE

Facility Address:
5506 CORPORATE DRIVE, STE 1700
SAINT JOSEPH, MO
ZIP 64507
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Facility Phone Number: 816 233-7702

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902302045

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	26D2132157
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	5506 CORPORATE DRIVE, STE 1700
City	SAINT JOSEPH
State	MO
ZIP	64507
Phone	816 233-7702
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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