03D2121755 CLIA NUMBER - Banner - University Medical Group

Laboratory Demographics

CLIA Number: 03D2121755

Facility Name: Banner - University Medical Group

Facility Address:
1501 N Campbell Ave, Room 3324,
Tucson, AZ
ZIP 85724
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Facility Phone Number: (520) 626-0381

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1417417221
332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 03D2121755
LAB Type PHYSICIAN OFFICE
Facility Name Banner - University Medical Group
Street 1501 N Campbell Ave, Room 3324,
City Tucson
State AZ
ZIP 85724
Phone 5206260381

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