03D0877172 CLIA NUMBER - BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Laboratory Demographics

CLIA Number: 03D0877172

Facility Name: BANNER - UNIVERSITY MEDICAL CENTER PHOENIX

Facility Address:
1111 E MCDOWELL RD
PHOENIX, AZ
ZIP 85006
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Facility Phone Number: 602 839-3460

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1306154943

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D0877172
LAB Type	Hospital
Facility Name	BANNER - UNIVERSITY MEDICAL CENTER PHOENIX
Street	1111 E MCDOWELL RD
City	PHOENIX
State	AZ
ZIP	85006
Phone	602 839-3460
CertificateType	1
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Accreditation

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