03D2116229 CLIA NUMBER - BANNER PAYSON BLOOD GAS LAB

Laboratory Demographics

  • CLIA Code: 03D2116229
  • Facility Name: BANNER PAYSON BLOOD GAS LAB
  • Facility Address: 807 S PONDEROSA ST
    PAYSON, AZ
    ZIP 85541
  • Facility Phone: 928 474-3222
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. DANIEL A. CHERRY
  • NPI Number: 1063893121
  • Taxonomy: 282N00000X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 03D2116229
LAB Type Hospital
Facility Name BANNER PAYSON BLOOD GAS LAB
Street 807 S PONDEROSA ST
City PAYSON
State AZ
ZIP 85541
Phone 928 474-3222
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Hospital
Lab Director DR. DANIEL A. CHERRY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025