45D2030509 CLIA NUMBER - CONCENTRA URGENT CARE - FRISCO

Laboratory Demographics

  • CLIA Code: 45D2030509
  • Facility Name: CONCENTRA URGENT CARE - FRISCO
  • Facility Address: 8756 TEEL PARKWAY STE 350
    FRISCO, TX
    ZIP 75034
  • Facility Phone: 972 712-5454
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAVITHA NALLA
  • NPI Number: 1952689515
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D2030509
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE - FRISCO
Street 8756 TEEL PARKWAY STE 350
City FRISCO
State TX
ZIP 75034
Phone 972 712-5454
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2023
Certificate Expiration Date 9/28/2025
Facility Type Physician Office
Lab Director KAVITHA NALLA

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This page was last updated on: 3/20/2025