31D0904509 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 31D0904509

Facility Name: CONCENTRA URGENT CARE

Facility Address:
30 SEAVIEW DRIVE
SECAUCUS, NJ
ZIP 07094
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Facility Phone Number: 201 319-1611

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265558589

Taxonomy: 261QH0100X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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