23D1005209 CLIA NUMBER - CONCENTRA URGENT CARE

Laboratory Demographics

  • CLIA Code: 23D1005209
  • Facility Name: CONCENTRA URGENT CARE
  • Facility Address: 11569 E 12 MILE ROAD
    WARREN, MI
    ZIP 48093
  • Facility Phone: 586 582-0018
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AGATA MICHALCZAK
  • NPI Number: 1477745495
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1005209
LAB Type Physician Office
Facility Name CONCENTRA URGENT CARE
Street 11569 E 12 MILE ROAD
City WARREN
State MI
ZIP 48093
Phone 586 582-0018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2025
Certificate Expiration Date 2/10/2027
Facility Type Physician Office
Lab Director AGATA MICHALCZAK

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