45D1001400 CLIA NUMBER - CONCENTRA URGENT CARE - FOREST PARK

Laboratory Demographics

  • CLIA Code: 45D1001400
  • Facility Name: CONCENTRA URGENT CARE - FOREST PARK
  • Facility Address: 2500 WEST FREEWAY (I30) STE 100
    FORT WORTH, TX
    ZIP 76102
  • Facility Phone: (817) 882-8700
  • Facility Type: Industrial
  • Facility Type: Waiver
  • Lab Director: GENE JOE
  • NPI Number: 1700075439
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1001400
LAB Type Industrial
Facility Name CONCENTRA URGENT CARE - FOREST PARK
Street 2500 WEST FREEWAY (I30) STE 100
City FORT WORTH
State TX
ZIP 76102
Phone 8178828700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Industrial
Lab Director GENE JOE

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This page was last updated on: 5/18/2026