03D0526219 CLIA NUMBER - BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Laboratory Demographics

CLIA Number: 03D0526219

Facility Name: BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Facility Address:
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
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Facility Phone Number: 602 239-3460

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1669410767

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name	Field Value
CLIA Number	03D0526219
LAB Type	Hospital
Facility Name	BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Street	1111 E MCDOWELL RD
City	PHOENIX
State	AZ
ZIP	85006
Phone	602 239-3460
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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