45D1001704 CLIA NUMBER - CONCENTRA - ARLINGTON SOUTH

Laboratory Demographics

CLIA Number: 45D1001704

Facility Name: CONCENTRA - ARLINGTON SOUTH

Facility Address:
511 EAST I-20
ARLINGTON, TX
ZIP 76018
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Facility Phone Number: 817 261-5166

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770822710

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	45D1001704
LAB Type	Physician Office
Facility Name	CONCENTRA - ARLINGTON SOUTH
Street	511 EAST I-20
City	ARLINGTON
State	TX
ZIP	76018
Phone	817 261-5166
CertificateType	4
CertificateEffectiveDate	7/18/2022
CertificateExpirationDate	7/17/2024
FacilityType	Waiver

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