36D2145445 CLIA NUMBER - MEMORIAL URGENT CARE URBANA

Laboratory Demographics

CLIA Number: 36D2145445

Facility Name: MEMORIAL URGENT CARE URBANA

Facility Address:
1958 E US HWY 36
URBANA, OH
ZIP 43078
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Facility Phone Number: 937 578-4310

Facility Type: Other - URGENT CARE CENTER

Certificate Type: Waiver

NPI Number: 1093763757

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2145445
LAB Type	Other - URGENT CARE CENTER
Facility Name	MEMORIAL URGENT CARE URBANA
Street	1958 E US HWY 36
City	URBANA
State	OH
ZIP	43078
Phone	937 578-4310
CertificateType	4
CertificateEffectiveDate	3/7/2024
CertificateExpirationDate	3/6/2026
FacilityType	Waiver

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