34D0956385 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 34D0956385

Facility Name: CONCENTRA URGENT CARE

Facility Address:
4909 GREEN ROAD
RALEIGH, NC
ZIP 27616
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Facility Phone Number: 919 790-0288

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1285886754

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D0956385
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE
Street	4909 GREEN ROAD
City	RALEIGH
State	NC
ZIP	27616
Phone	919 790-0288
CertificateType	4
CertificateEffectiveDate	10/19/2023
CertificateExpirationDate	10/18/2025
FacilityType	Waiver

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