03D2112727 CLIA NUMBER - Banner Physician Specialists Arizona L

Laboratory Demographics

CLIA Number: 03D2112727

Facility Name: Banner Physician Specialists Arizona L

Facility Address:
14416 W Meeker Blvd, Ste 201
Sun City West, AZ
ZIP 85375
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Facility Phone Number: (623) 876-3800

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1548538069

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 03D2112727
LAB Type PHYSICIAN OFFICE
Facility Name Banner Physician Specialists Arizona L
Street 14416 W Meeker Blvd, Ste 201
City Sun City West
State AZ
ZIP 85375
Phone (623) 876-3800

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