03D1029952 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 03D1029952

Facility Name: BANNER URGENT CARE SERVICES LLC

Facility Address:
641 W WARNER RD
GILBERT, AZ
ZIP 85233
Get Directions

Facility Phone Number: 480 827-5680

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1598237117

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D1029952
LAB Type	Community Clinic
Facility Name	BANNER URGENT CARE SERVICES LLC
Street	641 W WARNER RD
City	GILBERT
State	AZ
ZIP	85233
Phone	480 827-5680
CertificateType	4
CertificateEffectiveDate	8/26/2022
CertificateExpirationDate	8/25/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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