39D1086228 CLIA NUMBER - CONCENTRA URGENT CARE SELECT MEDICAL

Laboratory Demographics

  • CLIA Code: 39D1086228
  • Facility Name: CONCENTRA URGENT CARE SELECT MEDICAL
  • Facility Address: 268 HIGHLAND PARK BLVD
    WILKES BARRE, PA
    ZIP 18702
  • Facility Phone: 570 822-8831
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RACHEL CANSECO-BERBANO
  • NPI Number: 1679722755
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 39D1086228
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE SELECT MEDICAL
Street 268 HIGHLAND PARK BLVD
City WILKES BARRE
State PA
ZIP 18702
Phone 570 822-8831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2024
Certificate Expiration Date 7/7/2026
Facility Type Physician Office
Lab Director DR. RACHEL CANSECO-BERBANO

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