03D2106649 CLIA NUMBER - Banner Physician Specialists Arizona Llc

Laboratory Demographics

CLIA Number:
03D2106649

Facility Name:
Banner Physician Specialists Arizona Llc

Facility Address:
21772 S Ellsworth Loop Rd
Queen Creek, AZ
ZIP 85142
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Facility Phone Number:
(480) 512-3700

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	03D2106649
LAB Type	PHYSICIAN OFFICE
Facility Name	Banner Physician Specialists Arizona Llc
Street	21772 S Ellsworth Loop Rd
City	Queen Creek
State	AZ
ZIP	85142
Phone	4805123700

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This page was last updated on: 12/21/2017