03D2109708 CLIA NUMBER - Banner Physician Specialists Arizona Llc

Laboratory Demographics

CLIA Number:
03D2109708

Facility Name:
Banner Physician Specialists Arizona Llc

Facility Address:
1435 S Alma School Rd
Chandler, AZ
ZIP 85286
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Facility Phone Number:
(480) 668-1670

Facility Type:
PHYSICIAN OFFICE

Certificate Type:
Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2109708
LAB Type	PHYSICIAN OFFICE
Facility Name	Banner Physician Specialists Arizona Llc
Street	1435 S Alma School Rd
City	Chandler
State	AZ
ZIP	85286
Phone	4806681670

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