03D2123342 CLIA NUMBER - BANNER URGENT CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2123342
  • Facility Name: BANNER URGENT CARE SERVICES LLC
  • Facility Address: 1908 E MCKELLIPS RD
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 827-5610
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: ROBERT JOHNS
  • NPI Number: 1174095798
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D2123342
LAB Type Other - URGENT CARE
Facility Name BANNER URGENT CARE SERVICES LLC
Street 1908 E MCKELLIPS RD
City MESA
State AZ
ZIP 85203
Phone 480 827-5610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - URGENT CARE
Lab Director ROBERT JOHNS

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This page was last updated on: 9/29/2025