31D1007324 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 31D1007324

Facility Name: CONCENTRA URGENT CARE

Facility Address:
150 NORTH STREET
TETERBORO, NJ
ZIP 07608
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Facility Phone Number: 201 393-9199

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1124270608

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D1007324
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	150 NORTH STREET
City	TETERBORO
State	NJ
ZIP	07608
Phone	201 393-9199
CertificateType	4
CertificateEffectiveDate	11/1/2022
CertificateExpirationDate	10/31/2024
FacilityType	Waiver

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