45D1002920 CLIA NUMBER - CONCENTRA URGENT CARE - MESQUITE

Laboratory Demographics

  • CLIA Code: 45D1002920
  • Facility Name: CONCENTRA URGENT CARE - MESQUITE
  • Facility Address: 4928 SAMUELL BLVD
    MESQUITE, TX
    ZIP 75149
  • Facility Phone: 214 328-1400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID WASSERMAN
  • NPI Number: 1487803425
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D1002920
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - MESQUITE
Street 4928 SAMUELL BLVD
City MESQUITE
State TX
ZIP 75149
Phone 214 328-1400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director DAVID WASSERMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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