45D1001382 CLIA NUMBER - CONCENTRA URGENT CARE - GARLAND ATTN CENTER ADMINISTRATOR

Laboratory Demographics

  • CLIA Code: 45D1001382
  • Facility Name: CONCENTRA URGENT CARE - GARLAND ATTN CENTER ADMINISTRATOR
  • Facility Address: 1621 S JUPITER SUITE 101
    GARLAND, TX
    ZIP 75042
  • Facility Phone: 214 340-7555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SILVIO AZZOLINI
  • NPI Number: 1366691313
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1001382
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - GARLAND ATTN CENTER ADMINISTRATOR
Street 1621 S JUPITER SUITE 101
City GARLAND
State TX
ZIP 75042
Phone 214 340-7555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director SILVIO AZZOLINI

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