52D0391624 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 52D0391624
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 5500 BROWN DEER RD, SUITE 40
    MILWAUKEE, WI
    ZIP 53223
  • Facility Phone: 414 355-4300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. LISA KOCHANIK
  • NPI Number: 1871770750
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D0391624
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 5500 BROWN DEER RD, SUITE 40
City MILWAUKEE
State WI
ZIP 53223
Phone 414 355-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. LISA KOCHANIK

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