31D2029853 CLIA NUMBER - CONCENTRA URGENT CARE

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Laboratory Demographics

CLIA Number: 31D2029853

Facility Name: CONCENTRA URGENT CARE

Facility Address:
6701 BERGENLINE AVENUE
WEST NEW YORK, NJ
ZIP 07093
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Facility Phone Number: 201 758-9100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255610457

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	31D2029853
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	6701 BERGENLINE AVENUE
City	WEST NEW YORK
State	NJ
ZIP	07093
Phone	201 758-9100
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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