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03D1040373 CLIA NUMBER - BANNER PHYSICIAN SPECIALISTS ARIZONA, LLC

Laboratory Demographics

CLIA Number: 03D1040373

Facility Name: BANNER PHYSICIAN SPECIALISTS ARIZONA, LLC

Facility Address:
14420 W MEEKER BLVD, STE 104
SUN CITY WEST, AZ
ZIP 85375
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Facility Phone Number: 623 583-5300

Facility Type: Other

Certificate Type: Certificate of Compliance
NPI Number: 1548538069

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 03D1040373
LAB Type Other
Facility Name BANNER PHYSICIAN SPECIALISTS ARIZONA, LLC
Street 14420 W MEEKER BLVD, STE 104
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 583-5300
CertificateType 2
CertificateEffectiveDate 12/7/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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