03D2051617 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2051617
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 931 E ELLIOT RD STE 115
    TEMPE, AZ
    ZIP 85284
  • Facility Phone: 480 827-5640
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1982176517
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2051617
LAB Type Other - URGENT CARE
Facility Name BANNER URGENT CARE SERVICES LLC
Street 931 E ELLIOT RD STE 115
City TEMPE
State AZ
ZIP 85284
Phone 480 827-5640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Other - URGENT CARE
Lab Director ROBERT JOHNS

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