30D0002652 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 30D0002652

Facility Name: CONCENTRA URGENT CARE

Facility Address:
14 BROAD ST, STE A
NASHUA, NH
ZIP 03064
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Facility Phone Number: 603 889-2354

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1861634602

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	30D0002652
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	14 BROAD ST, STE A
City	NASHUA
State	NH
ZIP	03064
Phone	603 889-2354
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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