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	(480) 668-1670

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