45D1001383 CLIA NUMBER - CONCENTRA URGENT CARE - CARROLLTON

Laboratory Demographics

CLIA Number: 45D1001383

Facility Name: CONCENTRA URGENT CARE - CARROLLTON

Facility Address:
1345 VALWOOD PARKWAY SUITE 306
CARROLLTON, TX
ZIP 75006
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Facility Phone Number: 972 484-6435

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174772107

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1001383
LAB Type	Physician Office
Facility Name	CONCENTRA URGENT CARE - CARROLLTON
Street	1345 VALWOOD PARKWAY SUITE 306
City	CARROLLTON
State	TX
ZIP	75006
Phone	972 484-6435
CertificateType	4
CertificateEffectiveDate	7/9/2022
CertificateExpirationDate	7/8/2024
FacilityType	Waiver

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