03D2108370 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2108370
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 21980 N 83RD AVE
    PEORIA, AZ
    ZIP 85383
  • Facility Phone: 623 465-6375
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1609348226
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2108370
LAB Type Other - URGENT CARE
Facility Name BANNER URGENT CARE SERVICES LLC
Street 21980 N 83RD AVE
City PEORIA
State AZ
ZIP 85383
Phone 623 465-6375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Other - URGENT CARE
Lab Director ROBERT JOHNS

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This page was last updated on: 6/4/2025