03D2103461 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 03D2103461

Facility Name: BANNER URGENT CARE SERVICES LLC

Facility Address:
1157 S CRISMON RD, STE 101
MESA, AZ
ZIP 85208
Get Directions

Facility Phone Number: (480) 827-5730

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1902378524

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2103461
LAB Type	OTHER
Facility Name	BANNER URGENT CARE SERVICES LLC
Street	1157 S CRISMON RD, STE 101
City	MESA
State	AZ
ZIP	85208
Phone	(480) 827-5730

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: 5/11/2023