03D2112227 CLIA NUMBER - Banner Urgent Care Services LLC

Laboratory Demographics

CLIA Number: 03D2112227

Facility Name: Banner Urgent Care Services LLC

Facility Address:
15521 W Bell Rd
Surprise, AZ
ZIP 85374
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Facility Phone Number: (623) 465-6390

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1639641269

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 03D2112227
LAB Type OTHER
Facility Name Banner Urgent Care Services LLC
Street 15521 W Bell Rd
City Surprise
State AZ
ZIP 85374
Phone (623) 465-6390

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This page was last updated on: 4/7/2021