34D0956385 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 34D0956385
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 4909 GREEN ROAD
    RALEIGH, NC
    ZIP 27616
  • Facility Phone: 919 790-0288
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HEPHZIBAH CHELLI
  • NPI Number: 1285886754
  • Taxonomy: 261QH0100X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2023
Certificate Expiration Date 10/18/2025
Facility Type Physician Office
Lab Director HEPHZIBAH CHELLI

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This page was last updated on: 9/29/2025