03D2120169 CLIA NUMBER - BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

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Laboratory Demographics

CLIA Number: 03D2120169

Facility Name: BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Facility Address:
1811 E MCMURRAY BLVD
CASA GRANDE, AZ
ZIP 85122
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Facility Phone Number: (520) 374-6530

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	03D2120169
LAB Type	PHYSICIAN OFFICE
Facility Name	BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Street	1811 E MCMURRAY BLVD
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	(520) 374-6530

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This page was last updated on: 5/11/2023