03D2111856 CLIA NUMBER - BANNER HEALTH DBA BANNER MD ANDERSON CANCER CENTER RESEARCH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 03D2111856
  • Facility Name: BANNER HEALTH DBA BANNER MD ANDERSON CANCER CENTER RESEARCH DEPARTMENT
  • Facility Address: 2946 E BANNER GATEWAY DR
    GILBERT, AZ
    ZIP 85234
  • Facility Phone: 480 256-6444
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: ANTONIO TORLONI
  • NPI Number: 1750751566
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 03D2111856
LAB Type Community Clinic
Facility Name BANNER HEALTH DBA BANNER MD ANDERSON CANCER CENTER RESEARCH DEPARTMENT
Street 2946 E BANNER GATEWAY DR
City GILBERT
State AZ
ZIP 85234
Phone 480 256-6444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Community Clinic
Lab Director ANTONIO TORLONI

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This page was last updated on: 3/20/2025