03D1049514 CLIA NUMBER - BANNER THUNDERBIRD MEDICAL CENTER POINT OF CARE - LABORATORY

Laboratory Demographics

  • CLIA Code: 03D1049514
  • Facility Name: BANNER THUNDERBIRD MEDICAL CENTER POINT OF CARE - LABORATORY
  • Facility Address: 5555 W THUNDERBIRD RD
    GLENDALE, AZ
    ZIP 85306
  • Facility Phone: 602 865-4651
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. MARK A. WASYLENKO
  • NPI Number: 1144374471
  • Taxonomy: 273Y00000X - Rehabilitation Unit

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CLIA Record

Field Name Field Value
CLIA Number 03D1049514
LAB Type Hospital
Facility Name BANNER THUNDERBIRD MEDICAL CENTER POINT OF CARE - LABORATORY
Street 5555 W THUNDERBIRD RD
City GLENDALE
State AZ
ZIP 85306
Phone 602 865-4651
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Hospital
Lab Director DR. MARK A. WASYLENKO

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This page was last updated on: 9/29/2025