52D0389627 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 52D0389627
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 15465 W HOWARD AVE
    NEW BERLIN, WI
    ZIP 53151
  • Facility Phone: 262 786-4422
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID K. MAHON
  • NPI Number: 1871742866
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0389627
LAB Type Practitioner Other
Facility Name CONCENTRA URGENT CARE
Street 15465 W HOWARD AVE
City NEW BERLIN
State WI
ZIP 53151
Phone 262 786-4422
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Practitioner Other
Lab Director DR. DAVID K. MAHON

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