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
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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

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This page was last updated on: 4/7/2021