03D2101459 CLIA NUMBER - BANNER BOSWELL CARDIAC AND PULMONARY

Laboratory Demographics

CLIA Number: 03D2101459

Facility Name: BANNER BOSWELL CARDIAC AND PULMONARY

Facility Address:
10503 W THUNDERBIRD BLVD, STE 301
SUN CITY, AZ
ZIP 85351
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Facility Phone Number: (623) 832-5390

Facility Type: COMPREHENSIVE OUTPATIENT REHAB

Certificate Type: Waiver

NPI Number: 1053571182

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	03D2101459
LAB Type	COMPREHENSIVE OUTPATIENT REHAB
Facility Name	BANNER BOSWELL CARDIAC AND PULMONARY
Street	10503 W THUNDERBIRD BLVD, STE 301
City	SUN CITY
State	AZ
ZIP	85351
Phone	(623) 832-5390

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This page was last updated on: 5/11/2023