31D0904509 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 31D0904509
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 30 SEAVIEW DRIVE
    SECAUCUS, NJ
    ZIP 07094
  • Facility Phone: 201 319-1611
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE DIXON
  • NPI Number: 1265558589
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 31D0904509
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 30 SEAVIEW DRIVE
City SECAUCUS
State NJ
ZIP 07094
Phone 201 319-1611
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director GEORGE DIXON

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This page was last updated on: 3/20/2025