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
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 6234192418

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