03D2108370 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 03D2108370

Facility Name: BANNER URGENT CARE SERVICES LLC

Facility Address:
21980 N 83RD AVE
PEORIA, AZ
ZIP 85383
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Facility Phone Number: (623) 465-6375

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1609348226

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2108370
LAB Type	OTHER
Facility Name	BANNER URGENT CARE SERVICES LLC
Street	21980 N 83RD AVE
City	PEORIA
State	AZ
ZIP	85383
Phone	(623) 465-6375

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