03D2117601 CLIA NUMBER - Banner - University Super Specialists Llc

Laboratory Demographics

CLIA Number: 03D2117601

Facility Name: Banner - University Super Specialists Llc

Facility Address:
1441 N 12th St, 2nd Floor,
Phoenix, AZ
ZIP 85006
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Facility Phone Number: (602) 521-2900

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 03D2117601
LAB Type PHYSICIAN OFFICE
Facility Name Banner - University Super Specialists Llc
Street 1441 N 12th St, 2nd Floor,
City Phoenix
State AZ
ZIP 85006
Phone 6025212900

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This page was last updated on: 5/19/2019