03D2113734 CLIA NUMBER - Banner - University Medical Group

Laboratory Demographics

CLIA Number: 03D2113734

Facility Name: Banner - University Medical Group

Facility Address:
535 N Wilmot Rd, 2nd Floor
Tucson, AZ
ZIP 85711
Get Directions

Facility Phone Number: (520) 694-1234

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1568818649

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	03D2113734
LAB Type	PHYSICIAN OFFICE
Facility Name	Banner - University Medical Group
Street	535 N Wilmot Rd, 2nd Floor
City	Tucson
State	AZ
ZIP	85711
Phone	(520) 694-1234

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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