52D1000738 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 52D1000738
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 1147 WARWICK WAY
    RACINE, WI
    ZIP 53406
  • Facility Phone: (262) 886-3997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA PERSE
  • NPI Number: 1477730356
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 52D1000738
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 1147 WARWICK WAY
City RACINE
State WI
ZIP 53406
Phone 2628863997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Physician Office
Lab Director DR. JESSICA PERSE

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This page was last updated on: 5/18/2026