52D1005003 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

CLIA Number: 52D1005003

Facility Name: CONCENTRA URGENT CARE

Facility Address:
358 JUNCTION RD
MADISON, WI
ZIP 53717
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Facility Phone Number: 608 829-1888

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1497907794

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 52D1005003
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 358 JUNCTION RD
City MADISON
State WI
ZIP 53717
Phone 608 829-1888
CertificateType 3
CertificateEffectiveDate 1/3/2024
CertificateExpirationDate 1/2/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024