03D2120169 CLIA NUMBER - Banner Primary Care Physicians Arizona Llc

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 5203746530

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