03D2122236 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

CLIA Number: 03D2122236

Facility Name: BANNER URGENT CARE SERVICES LLC

Facility Address:
16430 W YUMA RD
GOODYEAR, AZ
ZIP 85338
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Facility Phone Number: (623) 419-2418

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1396217915

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2122236
LAB Type	OTHER
Facility Name	BANNER URGENT CARE SERVICES LLC
Street	16430 W YUMA RD
City	GOODYEAR
State	AZ
ZIP	85338
Phone	(623) 419-2418

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